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Updated: Jun 13, 2025
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Mechanical external compression devices to manage bleeding during mechanical circulatory support with Impella CP
Andrea Mariani1, Domenico Simone Castiello1, Mario Iannaccone2
1Department of Advanced Biomedical Sciences, University of Naples 'Federico II'.
Background:
In recent years, there has been a significant increase in the use of mechanical circulatory support devices, including the Impella device (Abiomed, Danvers, MA, USA), as hemodynamic support during high-risk percutaneous coronary intervention (PCI) and in acute management of cardiogenic shock.
Results:
In this case series, we present two patients with non-ST-elevation myocardial infarction complicated by cardiogenic shock treated with Impella CP-protected PCI. After the revascularization, for both patients, a clinically relevant, access-site bleeding occurred, challenging the Impella CP maintenance. However, hemostasis was successfully achieved with a mechanical external compression device, allowing Impella hemodynamic support to continue.
Major Findings:
In this case series we propose a novel and easy approach to manage access-site bleeding while using the Impella catheter.
