C-7 | Left Ventricular Recovery After Impella 5.5 Placement in Patients With Cardiogenic Shock

نویسندگان

چکیده

Percutaneous mechanical circulatory support has traditionally been considered in patients with acute myocardial infarction (AMI), however, this technology is now being used for optimizing decompensated heart failure (ADHF). Widely accepted data on left ventricular recovery (LVR) focused the optimization of after durable assist devices (LVAD) but not described Impella. Current parameters defining LVR Impella 5.5 have yet to be established. We explore role and its effects by echocardiography ADHF. reviewed all who were listed transplant between October 2018 February 2022 supported 5.5. Patient extracted from electronic medical record. Baseline prior device placement post-device was performed at 14 days. A total 38 awaiting transplantation as temporary support. 35 these had pre- echocardiograms available review. The median age during 62 years (57 – 68), five females (14%). 51% Caucasian, 43% African American 6% Hispanic. Majority non-ischemic cardiomyopathy. duration 22 days (14 32) a baseline ejection fraction (LVEF) 19% (15 -24). end-diastolic dimension (LVEDD) 68 mm (62 71) LVEDD echocardiogram 60 (55 67), p = .006 two weeks. Average size decreased 1.5mm our cohort. Our demonstrate that can utilized safely non-AMI ADHF allows potential improvement LV size. Longer or earlier may allow increased potential. Further prospective studies larger populations addition predictive analysis provide higher fidelity understanding recovery.

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ژورنال

عنوان ژورنال: Journal of the Society for Cardiovascular Angiography & Interventions

سال: 2023

ISSN: ['2772-9303']

DOI: https://doi.org/10.1016/j.jscai.2023.100792