Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement

The Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the docum...

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Detalles Bibliográficos
Autores principales: Cardozo, Shaun, Ahmed, Tasneem, Belgrave, Kevin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322295/
https://www.ncbi.nlm.nih.gov/pubmed/25692045
http://dx.doi.org/10.1155/2015/464135
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author Cardozo, Shaun
Ahmed, Tasneem
Belgrave, Kevin
author_facet Cardozo, Shaun
Ahmed, Tasneem
Belgrave, Kevin
author_sort Cardozo, Shaun
collection PubMed
description The Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the documented complications. However, cases of severe hemolytic anemia are rare in the literature. Proven imaging modalities like ultrasound need to be used to guide proper placement. We present a case of device induced severe hemolysis due to Impella insertion and the need to use ultrasound guidance to avoid such an unnecessary complication.
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spelling pubmed-43222952015-02-17 Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement Cardozo, Shaun Ahmed, Tasneem Belgrave, Kevin Case Rep Cardiol Case Report The Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the documented complications. However, cases of severe hemolytic anemia are rare in the literature. Proven imaging modalities like ultrasound need to be used to guide proper placement. We present a case of device induced severe hemolysis due to Impella insertion and the need to use ultrasound guidance to avoid such an unnecessary complication. Hindawi Publishing Corporation 2015 2015-01-27 /pmc/articles/PMC4322295/ /pubmed/25692045 http://dx.doi.org/10.1155/2015/464135 Text en Copyright © 2015 Shaun Cardozo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cardozo, Shaun
Ahmed, Tasneem
Belgrave, Kevin
Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title_full Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title_fullStr Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title_full_unstemmed Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title_short Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
title_sort impella induced massive hemolysis: reemphasizing echocardiographic guidance for correct placement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322295/
https://www.ncbi.nlm.nih.gov/pubmed/25692045
http://dx.doi.org/10.1155/2015/464135
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