PMID- 15895406
OWN - NLM
STAT- MEDLINE
DCOM- 20051110
LR  - 20101118
IS  - 1522-1946 (Print)
IS  - 1522-1946 (Linking)
VI  - 65
IP  - 2
DP  - 2005 Jun
TI  - Left ventricular unloading and concomitant total cardiac output increase by the 
      use of percutaneous Impella Recover LP 2.5 assist device during high-risk 
      coronary intervention.
PG  - 263-7
AB  - A number of techniques have been proposed for circulatory support during 
      high-risk percutaneous coronary interventions (PCI), but no single approach has 
      achieved wide acceptance so far. We report on a patient with severe left 
      ventricular (LV) impairment who underwent a PCI with the use of a new left 
      ventricular assist device, the Impella Recover LP 2.5 system. The effects on 
      global cardiac output were determined by thermodilution (TD) and LV 
      pressure-volume loops obtained by conductance catheter. The activation of the 
      pump resulted in a rapid and sustained unloading effect of the LV. At the same 
      time, the continuous expulsion of blood into ascending aorta throughout the 
      cardiac cycle produced by the pump resulted in an increase of systemic overall 
      CO, measured by the TD technique, of 1.43 L/min. The procedure was uncomplicated 
      and the patient remained uneventful at follow-up. Our single experience gives new 
      input for future trials to assess the effect of the Impella Recover LP 2.5 assist 
      device on outcome in this subset of patients.
CI  - Copyright 2005 Wiley-Liss, Inc
FAU - Valgimigli, Marco
AU  - Valgimigli M
AD  - Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The 
      Netherlands.
FAU - Steendijk, Paul
AU  - Steendijk P
FAU - Sianos, George
AU  - Sianos G
FAU - Onderwater, Emile
AU  - Onderwater E
FAU - Serruys, Patrick W
AU  - Serruys PW
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - *Angioplasty, Balloon, Coronary
MH  - Cardiac Output/physiology
MH  - *Heart-Assist Devices
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Treatment Outcome
MH  - Ventricular Dysfunction, Left/diagnosis/physiopathology/*therapy
MH  - Ventricular Pressure/physiology
EDAT- 2005/05/17 09:00
MHDA- 2005/11/11 09:00
CRDT- 2005/05/17 09:00
PHST- 2005/05/17 09:00 [pubmed]
PHST- 2005/11/11 09:00 [medline]
PHST- 2005/05/17 09:00 [entrez]
AID - 10.1002/ccd.20380 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2005 Jun;65(2):263-7. doi: 10.1002/ccd.20380.