[Preliminary experience in an intensive care unit with Impella

Medicina intensiva · May 2009

Case Reports

[Preliminary experience in an intensive care unit with Impella Recover. A new circulatory support system in patients with low cardiac output].

The low cardiac output syndrome following cardiopulmonary bypass is characterized by poor left ventricular contractibility that requires the support of high doses of vasoactive drugs, intra-aortic balloon pump, and sometimes makes it impossible to disconnect the extracorporeal circulation. We report 5 cases in which a "recently created" device in left ventricular support was inserted, the Impella Recover (Impella CardioSystems AG, Aachen, Germany) due to cardiogenic shock at the end of the surgery. Four of these patients recovered their heart function and the ventricular support could be removed after 70+/-55 h. In a fifth patient, the right ventricular failure warranted the use of Berlin Heart assist device.

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- Rubén Jara-Rubio, Miguel Fernández-Vivas, Mario Royo-Villanova, Cristina Llamas-Lázaro, Ginés Torres-Martínez, and Ramón Arcas-Meca.
- Servicio de Medicina Intensiva, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain. rjararubio@yahoo.es
- Med Intensiva. 2009 May 1; 33 (4): 207-10.
AbstractThe low cardiac output syndrome following cardiopulmonary bypass is characterized by poor left ventricular contractibility that requires the support of high doses of vasoactive drugs, intra-aortic balloon pump, and sometimes makes it impossible to disconnect the extracorporeal circulation. We report 5 cases in which a "recently created" device in left ventricular support was inserted, the Impella Recover (Impella CardioSystems AG, Aachen, Germany) due to cardiogenic shock at the end of the surgery. Four of these patients recovered their heart function and the ventricular support could be removed after 70+/-55 h. In a fifth patient, the right ventricular failure warranted the use of Berlin Heart assist device.

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[Preliminary experience in an intensive care unit with Impella Recover. A new circulatory support system in patients with low cardiac output].

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