Additional unloading of the left ventricle using the Impella LP 2.5 during extracorporeal life support in cases of pulmonary congestion

Extracorporeal life support (ECLS) is used for the treatment of severe cardiogenic shock. However, pulmonary congestion can progress to a severe problem with ECLS therapy. We report our experience with the Impella system for severe pulmonary congestion with ECLS therapy. We used the Impella system f...

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Detalles Bibliográficos
Autores principales: Ise, Hayato, Kitahara, Hiroto, Aubin, Hug, Saeed, Diyar, Westenfeld, Ralf, Akhyari, Payam, Boeken, Udo, Walz, Roland, Albert, Alexander, Lichtenberg, Artur, Kamiya, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232276/
https://www.ncbi.nlm.nih.gov/pubmed/30443318
http://dx.doi.org/10.1093/jscr/rjy302
Descripción
Sumario:Extracorporeal life support (ECLS) is used for the treatment of severe cardiogenic shock. However, pulmonary congestion can progress to a severe problem with ECLS therapy. We report our experience with the Impella system for severe pulmonary congestion with ECLS therapy. We used the Impella system for two patients, which led to successful unloading of the left ventricle. Impella implantation during ECLS support appears to be a promising concept. However, more evidence is required for further evaluation.

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