When do you use Impella?
When do you use Impella?
Impella (Abiomed, Danvers, MA) is a percutaneously inserted ventricular assist device (VAD). It has been increasingly used in patients with severe heart failure, cardiogenic shock, and high-risk percutaneous intervention (PCI).
How long can you use an Impella device?
The Impella Ventricular Support System pumps blood to the body and bypasses the left ventricle; this allows the left ventricle to rest, and hopefully recovers, for patients with cardiogenic shock. This mechanical cardiovascular support system can sustain a patient’s heart for up to seven days.
What is the difference between Impella and ECMO?
The Impella pumps blood in parallel with the heart. It aspirates blood directly from the LV into the aorta, thereby maintaining physiological flow. On the other hand, while VA-ECMO also pumps in parallel with heart, it results in a non-physiological flow.
What is the difference between IABP and Impella?
The Impella heart pump is placed in the left ventricle, the main pumping chamber of your heart. This provides blood your body needs while allowing the heart to rest. The IABP is placed in your aorta. A tiny balloon inflates and deflates with each heartbeat to assist the flow of blood from your heart to your body.
How is an Impella placed?
The Impella® blood pump is inserted into the femoral artery through a small incision in the leg. The Impella® blood pump can also be inserted into the subclavian artery through a small incision in the chest. Then it is advanced through the patient’s artery to their heart.
Does Impella need anticoagulation?
The Impella heart pumps require a specific purge pressure range (300-1100 mm Hg) for optimal pump flow and a specific systemic ACT anticoagulation range (160-180 seconds) for optimal and sustained function.
Can you walk with Impella?
The Impella 5.0 is implanted through the femoral or axillary artery and the Impella LD is implanted directly into the aorta. Both allow patients to walk around the unit while on support.
Is Impella device permanent?
The Impella device is designed for temporary support and is used as a bridge to decision, for myocardial recovery, or as a bridge to a long-term solution such as LVAD.
How is the Impella 5.0 catheter inserted?
Impella 5.0 is minimally invasive with placement through a single artery and into the left ventricle. Impella LD is inserted via the ascending aorta.
What is a tandem heart?
The TandemHeart is a left atrial-to-femoral artery bypass system comprising a transseptal cannula, arterial cannulae, and a centrifugal blood pump. The pump can deliver flow rates up to 4.0 L/min at a maximum speed of 7500 rpm.
What is Impella procedure?
The Impella heart pump is inserted through a small incision and advanced through the arteries into the heart. Impella pulls blood from the left ventricle and releases it into the aorta, providing pumping support. This active ‘unloading’ of the left ventricle increases blood flow to vital organs.
Is ECMO a VAD?
Two options for PCS support are extracorporeal membrane oxygenation (ECMO) using a heparin-coated emergency bypass circuit or a ventricular assist device (VAD).
How does the Impella ventricular assist device work?
The Impella CP is a catheter-based ventricular assist device inserted into the LV across the aortic valve to supports heart function by pulling blood from LV into aorta. Impella maintains a constant motor speed by varying the motor current in response…
How does an Impella pump work?
The Impella® device is guided up to your heart through an artery. Once in position, the Impella heart pump unloads blood from the left ventricle and expels it in to the ascending aorta, the same effect that happens with the pumping motion of your heart.
What is an Impella in cardiology?
Impella® is a percutaneous axial heart pump placed retrograde across the aortic valve into the left ventricle (LV) utilizing fluoroscopy +/- echocardiography. Its indications include high risk percutaneous coronary intervention (PCI, especially in cardiogenic shock or signs of ongoing ischemia), post-cardiotomy failure,…
What is an Impella device for the heart?
Impella is a family of medical devices used as a temporary ventricular support device in people with depressed heart function. Some versions of the device can provide right heart support during other forms of mechanical circulatory support including ECMO and Centrimag.
