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Ecpella 5.5: An Evolution in the Management of Mechanical Circulatory Support
Avi Levine1, Masashi Kai2, Suguru Ohira2
1From the Department of Cardiology, Westchester Medical Center, Valhalla, NY.
Abstract:
There are several endovascular options for temporary mechanical circulatory support in patients with refractory cardiogenic shock. These devices are often utilized in tandem to provide maximal support, including the combination of venoarterial extracorporeal membrane oxygenation with the Impella device, termed ECPELLA. An underappreciated characteristic of mechanical circulatory support is whether they provide cardiac "replacement" and/or cardiac "assistance." Within this framework, we propose an evolution in the approach to ECPELLA utilizing the Impella 5.5, with a focus on the Impella 5.5 as the primary support device.
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