Impella LP 5.0 (Abiomed) is a relatively new technology that has been used over the
last few years as a ventricular assist device to provide full circulatory support
for patients presenting with cardiogenic shock. There is limited evidence available
in literature with regard to insertion approaches, safety, complications and long-term
clinical outcomes. Complications that have been reported are device malfunction, pump
displacement, intravascular haemolysis, intra-ventricular thrombosis, functional mitral
stenosis due to displacement and local vascular complications at vascular access site.
We report here the first case with acute mitral regurgitation due to chordal rupture
and flail mitral valve leaflet as a result of Impella device displacement, a new complication.
Review of literature is also reported.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Outcome of the Impella device for acute mechanical circulatory support.Innovations (Philadelphia, Pa.). 2013; 8: 12
- A prospective, randomized clinical trial of hemodynamic support with Impella 2.5 versus intra-aortic balloon pump in patients undergoing high-risk percutaneous coronary intervention: the PROTECT II study.Circulation. 2012; 126 ([Epub 2012 August 30]): 1717-1727
- Echo rounds: the use of transeosophageal echocardiography for confirmation of appropriate Impella 5.0 device placement.Anesth Analg. 2012; 114: 82-85
- Echocardiographic approach in a new left ventricular assist device: Impella Recover 100.J Am Soc Echocardiogr. 2004; 17: 470-473
- Percutaneous mechanical assistance for the failing heart.J Interv Cardiol. 2010; 23: 195-202
- The right axillary artery approach for the Impella Recover LP 5.0 microaxial pump.Ann Thorac Surg. 2008; 85: 1468-1470
- Intracardiac left ventricular support in beating heart, multi-vessel revascularization.J Card Surg. 2003; 18: 240-244
- Initial experiences with the Impella device in patients with cardiogenic shock – Impella support for cardiogenic shock.Thorac Cardiovasc Surg. 2003; 51: 312-317
- Severe hemolysis associated with use of the Impella LP 2.5 mechanical assist device.Catheter Cardiovasc Interv. 2012; 80: 840-844
- Acute complication due to Impella 2.5 device (superficial femoral artery thrombosis): managed successfully with novel aspiration thrombectomy catheter (pronto v3).Clin Med Insights Cardiol. 2011; 5: 17-21
- Acute intraventricular thrombosis of an Impella LP 5.0 device in an ST-elevated myocardial infarction complicated by cardiogenic shock.J Invasive Cardiol. 2013; 25: E1-E3
- Functional mitral stenosis: a rare complication of the Impella assist device.Eur J Echocardiogr. 2008; 9 ([Epub 2008 March 30]): 412-413https://doi.org/10.1093/ejechocard/jen029
Article info
Publication history
Published online: December 02, 2013
Accepted:
October 27,
2013
Received in revised form:
October 25,
2013
Received:
September 29,
2013
Identification
Copyright
© 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
