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Updated: Jul 19, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.3K

Concomitant Use of VA-ECMO and Impella Support for Cardiogenic Shock

Shan P Modi1, Yeahwa Hong2, McKenzie M Sicke3

  • 1Department of Critical Care Medicine, University of Pittsburgh Medical Center Pittsburgh, PA.

Medrxiv : the Preprint Server for Health Sciences
|August 7, 2023
PubMed

Insights

ECpella support effectively manages cardiogenic shock (CS). Survival outcomes were similar for acute myocardial infarction-CS and acute decompensated heart failure-CS, but initial Impella support improved transplant bridging and reduced stroke risk.

Area of Science:

  • Cardiology
  • Mechanical Circulatory Support
  • Critical Care Medicine

Background:

  • VA-ECMO with Impella support (ECpella) is an emerging treatment for cardiogenic shock (CS).
  • Limited data exists on survival outcomes stratified by CS etiology using ECpella.

Conclusions:

  • ECpella is a viable treatment for CS.
  • Survival and destination are comparable between AMI-CS and ADHF-CS patients on ECpella.
  • Initial Impella support positively impacts survival and transplant candidacy.
  • Multicenter studies are needed for further insights.
Abstract

Keywords:
ADHF-CSAMI-CSCardiogenicECpellaShock

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