Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support

Michael S. Koeckert; Ulrich P. Jorde; Yoshifumi Naka; Jeffrey W. Moses; Hiroo Takayama

doi:10.1111/j.1540-8191.2011.01338.x

Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support

Michael S. Koeckert, Ulrich P. Jorde, Yoshifumi Naka, Jeffrey W. Moses, Hiroo Takayama

Research output: Contribution to journal › Article › peer-review

112 Scopus citations

Abstract

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is commonly used as a means of support for acute cardiopulmonary failure. In the setting of severe left ventricular (LV) dysfunction, VA-ECMO may be complicated by LV distension, which can lead to pulmonary edema and compromise myocardial recovery. Traditional decompression methods carry significant risk. We report the use of the Impella LP 2.5 for LV decompression in a 70-year-old man with decompensated heart failure who was placed on VA-ECMO for cardiogenic shock with severe pulmonary edema and respiratory failure. Both devices were successfully weaned on day 5 of VA-ECMO support, after myocardial recovery. (J Card Surg 2011;26:666-668)

Original language	English (US)
Pages (from-to)	666-668
Number of pages	3
Journal	Journal of Cardiac Surgery
Volume	26
Issue number	6
DOIs	https://doi.org/10.1111/j.1540-8191.2011.01338.x
State	Published - Nov 1 2011
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support",

abstract = "Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is commonly used as a means of support for acute cardiopulmonary failure. In the setting of severe left ventricular (LV) dysfunction, VA-ECMO may be complicated by LV distension, which can lead to pulmonary edema and compromise myocardial recovery. Traditional decompression methods carry significant risk. We report the use of the Impella LP 2.5 for LV decompression in a 70-year-old man with decompensated heart failure who was placed on VA-ECMO for cardiogenic shock with severe pulmonary edema and respiratory failure. Both devices were successfully weaned on day 5 of VA-ECMO support, after myocardial recovery. (J Card Surg 2011;26:666-668)",

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AU - Koeckert, Michael S.

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AU - Moses, Jeffrey W.

AU - Takayama, Hiroo

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