Overview of Impella and mechanical devices in cardiogenic shock

Hymie Habib Chera, Menachem Nagar, Nai Lun Chang, Carlos Morales-Mangual, George Dous, Jonathan D. Marmur, Muhammad Ihsan, Paul Madaj, Yitzhak Rosen

Research output: Contribution to journalReview article

Abstract

Introduction: Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. The Impella (Abiomed Inc.) is an axial flow pump on a pigtail catheter that is placed across the aortic valve to unload the left ventricle by delivering non-pulsatile blood flow to the ascending aorta. It is used for high-risk percutaneous coronary intervention and CS. Areas covered: Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance. We review Impella and other percutaneous devices such as intra-aortic balloon pump, TandemHeart, and extracorporeal membrane oxygenation (ECMO) and the evidence supporting their use in the setting of CS. Expert commentary: Impella has been proven to be safe and may be superior to other mechanical support devices in CS.

Original languageEnglish (US)
Pages (from-to)293-299
Number of pages7
JournalExpert review of medical devices
Volume15
Issue number4
DOIs
StatePublished - Apr 3 2018
Externally publishedYes

Fingerprint

Cardiogenic Shock
Pumps
Equipment and Supplies
Oxygenation
Axial flow
Catheters
Balloons
Blood
Membranes
Extracorporeal Membrane Oxygenation
Percutaneous Coronary Intervention
Aortic Valve
Heart Ventricles
Aorta
Morbidity
Mortality

Keywords

  • Cardiogenic shock
  • Impella
  • intra-aortic balloon pump
  • mechanical circulatory support
  • Mechanical support devices
  • percutaneous ventricular assist device

ASJC Scopus subject areas

  • Surgery
  • Biomedical Engineering

Cite this

Chera, H. H., Nagar, M., Chang, N. L., Morales-Mangual, C., Dous, G., Marmur, J. D., ... Rosen, Y. (2018). Overview of Impella and mechanical devices in cardiogenic shock. Expert review of medical devices, 15(4), 293-299. https://doi.org/10.1080/17434440.2018.1456334

Overview of Impella and mechanical devices in cardiogenic shock. / Chera, Hymie Habib; Nagar, Menachem; Chang, Nai Lun; Morales-Mangual, Carlos; Dous, George; Marmur, Jonathan D.; Ihsan, Muhammad; Madaj, Paul; Rosen, Yitzhak.

In: Expert review of medical devices, Vol. 15, No. 4, 03.04.2018, p. 293-299.

Research output: Contribution to journalReview article

Chera, HH, Nagar, M, Chang, NL, Morales-Mangual, C, Dous, G, Marmur, JD, Ihsan, M, Madaj, P & Rosen, Y 2018, 'Overview of Impella and mechanical devices in cardiogenic shock', Expert review of medical devices, vol. 15, no. 4, pp. 293-299. https://doi.org/10.1080/17434440.2018.1456334
Chera HH, Nagar M, Chang NL, Morales-Mangual C, Dous G, Marmur JD et al. Overview of Impella and mechanical devices in cardiogenic shock. Expert review of medical devices. 2018 Apr 3;15(4):293-299. https://doi.org/10.1080/17434440.2018.1456334
Chera, Hymie Habib ; Nagar, Menachem ; Chang, Nai Lun ; Morales-Mangual, Carlos ; Dous, George ; Marmur, Jonathan D. ; Ihsan, Muhammad ; Madaj, Paul ; Rosen, Yitzhak. / Overview of Impella and mechanical devices in cardiogenic shock. In: Expert review of medical devices. 2018 ; Vol. 15, No. 4. pp. 293-299.
@article{31ad9247fc4143a7a8c924c3d5b6b7ef,
title = "Overview of Impella and mechanical devices in cardiogenic shock",
abstract = "Introduction: Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. The Impella (Abiomed Inc.) is an axial flow pump on a pigtail catheter that is placed across the aortic valve to unload the left ventricle by delivering non-pulsatile blood flow to the ascending aorta. It is used for high-risk percutaneous coronary intervention and CS. Areas covered: Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance. We review Impella and other percutaneous devices such as intra-aortic balloon pump, TandemHeart, and extracorporeal membrane oxygenation (ECMO) and the evidence supporting their use in the setting of CS. Expert commentary: Impella has been proven to be safe and may be superior to other mechanical support devices in CS.",
keywords = "Cardiogenic shock, Impella, intra-aortic balloon pump, mechanical circulatory support, Mechanical support devices, percutaneous ventricular assist device",
author = "Chera, {Hymie Habib} and Menachem Nagar and Chang, {Nai Lun} and Carlos Morales-Mangual and George Dous and Marmur, {Jonathan D.} and Muhammad Ihsan and Paul Madaj and Yitzhak Rosen",
year = "2018",
month = "4",
day = "3",
doi = "10.1080/17434440.2018.1456334",
language = "English (US)",
volume = "15",
pages = "293--299",
journal = "Expert Review of Medical Devices",
issn = "1743-4440",
publisher = "Expert Reviews Ltd.",
number = "4",

}

TY - JOUR

T1 - Overview of Impella and mechanical devices in cardiogenic shock

AU - Chera, Hymie Habib

AU - Nagar, Menachem

AU - Chang, Nai Lun

AU - Morales-Mangual, Carlos

AU - Dous, George

AU - Marmur, Jonathan D.

AU - Ihsan, Muhammad

AU - Madaj, Paul

AU - Rosen, Yitzhak

PY - 2018/4/3

Y1 - 2018/4/3

N2 - Introduction: Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. The Impella (Abiomed Inc.) is an axial flow pump on a pigtail catheter that is placed across the aortic valve to unload the left ventricle by delivering non-pulsatile blood flow to the ascending aorta. It is used for high-risk percutaneous coronary intervention and CS. Areas covered: Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance. We review Impella and other percutaneous devices such as intra-aortic balloon pump, TandemHeart, and extracorporeal membrane oxygenation (ECMO) and the evidence supporting their use in the setting of CS. Expert commentary: Impella has been proven to be safe and may be superior to other mechanical support devices in CS.

AB - Introduction: Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. The Impella (Abiomed Inc.) is an axial flow pump on a pigtail catheter that is placed across the aortic valve to unload the left ventricle by delivering non-pulsatile blood flow to the ascending aorta. It is used for high-risk percutaneous coronary intervention and CS. Areas covered: Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance. We review Impella and other percutaneous devices such as intra-aortic balloon pump, TandemHeart, and extracorporeal membrane oxygenation (ECMO) and the evidence supporting their use in the setting of CS. Expert commentary: Impella has been proven to be safe and may be superior to other mechanical support devices in CS.

KW - Cardiogenic shock

KW - Impella

KW - intra-aortic balloon pump

KW - mechanical circulatory support

KW - Mechanical support devices

KW - percutaneous ventricular assist device

UR - http://www.scopus.com/inward/record.url?scp=85045059723&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045059723&partnerID=8YFLogxK

U2 - 10.1080/17434440.2018.1456334

DO - 10.1080/17434440.2018.1456334

M3 - Review article

C2 - 29600725

AN - SCOPUS:85045059723

VL - 15

SP - 293

EP - 299

JO - Expert Review of Medical Devices

JF - Expert Review of Medical Devices

SN - 1743-4440

IS - 4

ER -