Document Detail


Acute Intraventricular Thrombosis of an Impella LP 5.0 Device in an ST-Elevated Myocardial Infarction Complicated by Cardiogenic Shock.
MedLine Citation:
PMID:  23293180     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 58-year-old male patient, suffering from an acute anterior ST-elevated myocardial infarction, developed cardiogenic shock, despite an optimal revascularization and hemodynamic support through the use of an intra-aortic balloon pump and inotropic pharmacological agents. Additional support was provided by a left ventricular assistance device Impella LP 5.0 (Abiomed, Europe GmbH). Device failure occurred 27 hours after implantation due to an acute thrombosis of the Impella inflow portion. This major adverse event might have occurred due to an inflammatory status in the cardiogenic shock context, a pre-existing intraventricular thrombus that could have been sucked up inside the Impella, and/or a subtherapeutic anticoagulation. There are very few data regarding this type of complication. Further studies are therefore needed to assess the frequency of such a complication and the means to avoid it.
Authors:
Sylvain Ranc; Franck Sibellas; Lisa Green
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  25     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-3     Citation Subset:  IM    
Affiliation:
Unité 51, Hôpital Cardiologique de Lyon, 28 Avenue Doyen Lépine, 69677 BRON Cedex, France. sylvainranc@gmail.com.
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