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The Intra-Aortic Balloon Pump
Published on: February 5, 2021
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Impella CP-assisted balloon aortic valvuloplasty
1Department of Internal Medicine, Mercy Hospital and Medical Center, Chicago, IL, USA.
Journal of Cardiology Cases
|December 15, 2018
Summary
Percutaneous ventricular assist devices (PVADs) offer circulatory support during high-risk balloon aortic valvuloplasty (BAV). This case report highlights the successful use of the Impella CP device, suggesting severe aortic stenosis may no longer be a contraindication for PVADs.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Percutaneous ventricular assist devices (PVADs) have been used sporadically in balloon aortic valvuloplasty (BAV).
- Previous reports utilized TandemHeart or Impella 2.5 devices.
- Severe aortic stenosis (AS) has been considered a contraindication for PVAD use.
Purpose of the Study:
- To report the first case of Impella CP-assisted BAV.
- To evaluate the feasibility and benefits of using PVADs in high-risk BAV patients.
- To challenge the contraindication of severe AS for PVAD use.
Main Methods:
- A single case of high-risk BAV was performed with Impella CP circulatory support.
- The Impella CP device provided hemodynamic stabilization during the procedure.
- Clinical outcomes were assessed post-procedure.
Main Results:
- The Impella CP device facilitated successful BAV in a high-risk patient with severe AS.
- PVAD use provided crucial circulatory support and minimized blood flow interruption during balloon inflation.
- The patient experienced a good outcome following the procedure.
Conclusions:
- The use of PVADs, specifically the Impella CP device, is feasible and beneficial in high-risk BAV.
- Severe AS should be reconsidered as an absolute contraindication for PVAD use in BAV.
- PVADs enhance safety and efficacy in complex BAV procedures.
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