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https://citoday.com/pdfs/0909_supp_01.pdf
Inc., Danvers, MA), which is the first cardiac assist technolo-gy designed to attain this comprehensive ideal. THE EVOLUTION OF CARDIAC SUPPORT IN THE CATHETERIZATION LAB Evolving from Gibbon’s2 pioneering roller pump-oxy-Principles of Impella Cardiac Support The evolution of cardiac support technology toward the ideal assist device.
https://citoday.com/2009/09/supplement/0909_supp_01.php/
Principles of Impella Cardiac Support. ... of Impella to simultaneously provide systemic hemodynamic support and myocardial protection is based on its fundamental principles of support. In short, Impella is designed to replicate the natural function of the heart—moving blood from the ventricle, through the aortic valve, and into the aortic ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191250/
Oct 01, 2014 · Introduction. Cardiogenic shock is a physiologic state in which end-organ tissue hypoperfusion is a result of cardiac dysfunction, where the heart is unable to maintain adequate cardiac output despite adequate intravascular volume [].It complicates about 5% to 8% of all ST segment elevation myocardial infarctions (STEMIs) as well as other primary cardiac abnormalities including …Cited by: 8
http://www.abiomed.com/impella/impella-25
Impella 2.5 ® heart pump. How It Works: The Automated Impella ® Controller is the primary user control interface for the Impella ® platform featuring a 10-inch high-resolution display. It controls the Impella catheter performance, monitors for alarms, and displays …
https://www.sciencedirect.com/science/article/pii/S0167527315301868
Dec 15, 2015 · Impella support has been found to improve coronary perfusion through the combined mechanism of increased aortic pressure working synergistically with LV unloading and decreased wall tension , . Third, Impella leads to a decrease in pulmonary capillary pressure and a secondary reduction in right ventricular afterload. 4.Cited by: 104
https://www.drbeen.com/blog/how-does-ventricular-assist-device-impella-work/
May 23, 2018 · Impella is a ventricular assist device, that is FDA approved for short-term support of the left ventricle. There is also a version that can be used for the right ventricle as well. The device can support 2.5 to 5 L/min of blood flow, the latter of which is considered a normal cardiac output.
https://www.protectedpci.com/faq/ventricular-unloading/
Left ventricular support devices (Impella 2.5 ®, Impella CP ®, Impella 5.0 ®, and Impella LD ®) function by aspirating blood directly from the left ventricle (LV) into the aorta, resulting in reduction of LV pressure/volume and myocardial oxygen demand, thereby providing effective ventricular unloading. 2,3
http://medicine.uci.edu/cathlab-cme/Presentations-2019/Gibson-LVAssist-Devices-Hemodynamic-Support.pdf
Hemodynamic Support (IABP, Impella, Tandem Heart, ECMO) ... Principles of Impella Design ... Cardiac Output Pump Off 6.0 L/min 9/21 Pump On 7.4 L/min Pump Off Pump On 18 mmHg 11 mmHg Pump Off Pump On 94 mL 76 mL IMPELLA Unloads Actively the Ventricle, Reduces Work Loads and In creases Cardiac Out put
http://www.abiomed.com/impella/impella-cp
Indications for Use. High-Risk PCI The Impella 2.5®, Impella CP® and Impella CP® with SmartAssist® Systems are temporary (≤ 6 hours) ventricular support devices indicated for use during high-risk percutaneous coronary interventions (PCI) performed in elective or urgent, hemodynamically stable patients with severe coronary artery disease, when a heart team, including a cardiac surgeon ...
https://aacnjournals.org/ccnonline/article/31/1/e1/20271/Use-of-the-Impella-2-5-in-High-Risk-Percutaneous
Inotropic agents, such as dobutamine and milrinone, and vasopressors, such as dopamine and norepinephrine, may still be needed after the Impella 2.5 is placed to maintain a cardiac index of at least 2 and systolic blood pressure at 90 mm Hg or higher. Some patients on Impella support may be intubated and receiving mechanical ventilation.Cited by: 8
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