Document Detail


Left ventricular mechanical support with the Impella Recover left direct microaxial blood pump: a single-center experience.
MedLine Citation:
PMID:  16836733     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Impella Recover left direct (LD) is a new intravascular microaxial blood pump, intended as a short-term mechanical support especially in case of acutely reduced left ventricular function. From September 2002 to October 2004, Impella was used to support 12 patients: six patients were supported as bridge-to-heart transplant (HTx); three patients were treated for fulminant acute myocarditis, and three patients for postcardiotomy low-output syndrome. Mean support time was 8.8 +/- 2.3 days. Overall mortality was 50%. Four patients were successfully HTxed; two patients supported as bridge-to-HTx died on left ventricular assist device. Two patients with myocarditis died of septic shock; two patients in the group of postcardiotomy died of multiorgan failure. The latter two patients were slowly weaned from the device, and at 3-months follow-up showed good improvement of the left ventricular function. Our initial experience with Impella Recover LD as mechanical support for patients in cardiogenic shock of various etiology is promising, yielding a good survival in a population of particularly compromised patients.
Authors:
Andrea Garatti; Tiziano Colombo; Claudio Russo; Marco Lanfranconi; Filippo Milazzo; Emanuele Catena; Giuseppe Bruschi; Maria Frigerio; Ettore Vitali
Related Documents :
7421283 - Surgical management of multiple ventricular septal defects.
17906473 - Results of the scart study: selection of candidates for cardiac resynchronisation therapy.
17098723 - Transient decreases in bispectral index without associated changes in the level of cons...
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  30     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-13     Completed Date:  2007-02-06     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  523-8     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Department A. De Gasperis, Niguarda Ca'Granda Hospital, Milan, Italy. agaratti@tiscali.it
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Demography
Female
Heart Ventricles / physiopathology*
Heart-Assist Devices*
Humans
Male
Middle Aged
Treatment Outcome
Ventricular Dysfunction, Left / blood,  physiopathology*,  surgery*
Ventricular Function

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Biomaterials and strategies for nerve regeneration.
Next Document:  Numerical model of flow in a sac-type ventricular assist device.