Saving patients with out‐of‐hospital cardiac arrest using Impella: three case reports

BACKGROUND: The efficacy of Impella for patients with out‐of‐hospital cardiac arrest is unknown. We report the cases of three patients with cardiogenic out‐of‐hospital cardiac arrest who received hemodynamic support with Impella. CASE PRESENTATION: Two patients, Case 2 and Case 3, received concomita...

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Detalles Bibliográficos
Autores principales: Aida, Kenta, Azuma, Kazunari, Ishii, Yuri, Suzuki, Shoji, Oda, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507025/
https://www.ncbi.nlm.nih.gov/pubmed/32995019
http://dx.doi.org/10.1002/ams2.564
Descripción
Sumario:BACKGROUND: The efficacy of Impella for patients with out‐of‐hospital cardiac arrest is unknown. We report the cases of three patients with cardiogenic out‐of‐hospital cardiac arrest who received hemodynamic support with Impella. CASE PRESENTATION: Two patients, Case 2 and Case 3, received concomitant treatment with venoarterial extracorporeal membrane oxygenation and Impella. Percutaneous coronary intervention was undertaken in two patients, Case 1 and Case 3. Two patients, Case 1 and Case 3, showed favorable neurological function with the Glasgow–Pittsburgh cerebral performance and overall performance categories score of 1 at discharge. CONCLUSION: These findings suggest that Impella is effective in patients with out‐of‐hospital cardiac arrest. Further studies are required to understand the use of Impella for patients with out‐of‐hospital cardiac arrest.

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