• Catheter Cardiovasc Interv · Aug 2020

    Multicenter Study

    Percutaneous Impella RP use for refractory right heart failure in adolescents and young adults-A multicenter U.S. experience.

    • Athar M Qureshi, Mariel E Turner, William O'Neill, Susan W Denfield, Nima Aghili, Amit Badiye, Radhakrishan Gandhi, Behnam Tehrani, George Chang, Jared K Oyama, Shashank Sinha, Nicolas Brozzi, and Brian Morray.
    • The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.
    • Catheter Cardiovasc Interv. 2020 Aug 1; 96 (2): 376-381.

    ObjectiveTo assess the outcomes of the use of the percutaneous Impella RP device (Abiomed, Danvers, MA) in adolescents and young adults.BackgroundResults of the Impella RP device have been reported in adults, but a multicenter experience in adolescents and young adults has yet to be reported.MethodsPatients ≤21 years of age who underwent implantation of an Impella RP device for refractory right heart failure from June, 2016 to April, 2018 at nine U.S. Centers were included.ResultsA total of 12 adolescents, median age of 18 (14-21) years and median weight 74.4 (49-112.4) kg underwent Impella RP implantation (INTERMACS Profile 1 in nine and Profile 2 in three patients. The central venous pressure decreased from 20 (16-35) to 12 (7-17) mmHg, (p = .001). One patient was concomitantly supported with an intra-aortic balloon pump (IABP) and the rest with a percutaneous/surgically placed left ventricular assist device. There was one adverse event related to the Impella RP device (thrombosis requiring explant). The support duration was 6.5 days (4.8 hr-18.4 days) and survival to hospital discharge was 83%. At a median follow-up of 11 months (5 days-2.5 years), 8 of 12 (67%) patients are alive.ConclusionsIn this multicenter experience, the Impella RP device was found to be efficacious and safe when used in adolescents and young adults. Further studies are warranted to identify suitable young/pediatric candidates for Impella RP therapy for right heart failure.© 2020 Wiley Periodicals, Inc.

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