Table 2 Indication to IMPELLA , MCS-related management and outcomes
Patient ID | Indication to implantation | Rationale for impella’s implantation | Devices implanted | Hemolysis | Anticoagulation | Major bleeding | Outcome |
|---|---|---|---|---|---|---|---|
IMP1 | CSMI (STEMI) | Circulatory support, LV venting | IMPELLA 2.5, IABP | No | UFH 25 U/ml (purge fluid) | No | LVAD |
IMP2 | Cardiogenic shock (arrhytmia) | LV venting during ECMO in severe AI | IMPELLA 2.5, VA ECMO | No | UFH 25 U/ml (purge fluid) | No | Bridge to BIVAD and HTX |
IMP3 | CSMI (STEMI) | Coronary perfusion, LV venting during ECMO | IMPELLA 2.5, VA ECMO | No | IV bivalirudin | No | Organ donor (brain death) |
IMP4 | Cardiogenic shock | LV venting during ECMO | IMPELLA 2.5, VA ECMO | No | IV bivalirudin | No | Recovery |
IMP5 | Postcardiotomic cardiogenic shock (Sleeve procedure) | Coronary perfusion, LV venting | IMPELLA 2.5, VA ECMO, IABP | Yes | IV bivalirudin | Yes | Bridge to HTX |
IMP6 | CSMI (STEMI) | Coronary perfusion, circulatory support | IMPELLA 2.5, IABP | No | IV bivalirudin | No | Recovery |
IMP7 | Cardiogenic shock following percutaneous VT ablation | Circulatory support, LV venting | IMPELLA 2.5 | No | IV bivalirudin | No | Recovery |
IMP8 | Cardiogenic shock (coronary ischemia) | Circulatory support | IMPELLA CP, IABP | No | UFH 50 U/ml (purge fluid) | Yes | Death (MOF-withdrawal of care) |
IMP9 | CSMI (STEMI) | Coronary perfusion, LV venting | IMPELLA 2.5, VA ECMO | No | - | No | Death (MOF-withdrawal of care) |
IMP10 | CSMI (STEMI) | Coronary perfusion, circulatory support, LV venting | IMPELLA 2.5, IABP | No | UFH 50 U/ml (purge fluid) | No | Recovery |
IMP11 | CSMI (STEMI) | Coronary perfusion, circulatory support | IMPELLA 2.5, IABP | No | UFH 50 U/ml (purge fluid) | No | Recovery |
IMP12 | Postcardiotomic cardiogenic shock (LV aneurismectomy ) | LV venting | IMPELLA 2.5, VA ECMO | Yes | IV bivalirudin | Yes | Death (progressive cardiogenic shock) |
IMP13 | Postcardiotomic cardiogenic shock (CABG) | Coronary perfusion, circulatory support | IMPELLA CP, IABP | No | UFH 50 U/ml (purge fluid) | No | Recovery |
IMP14 | CSMI (STEMI) | Coronary perfusion, LV venting | IMPELLA 2.5, VA ECMO | Yes | IV bivalirudin | No | Death (MOF-withdrawal of care) |
IMP15 | Postcardiotomic cardiogenic shock (Mitral plasty) | Coronary perfusion, circulatory support, LV venting | IMPELLA 2.5, VA ECMO, IABP | No | IV bivalirudin | No | Recovery |
IMP 16 | CSMI (STEMI) | Coronary perfusion, circulatory support | IMPELLA 2.5, IABP | No | IV bivalirudin | No | Recovery |
IMP 17 | Cardiogenic shock (cronic myocarditis) | Coronary perfusion, circulatory support | IMPELLA 2.5, IABP | Yes | IV bivalirudin | No | Recovery |
IMP18 | Postcardiotomic cardiogenic shock (CABG) | LV venting during VA ECMO | IMPELLA 2.5, VA ECMO, IABP | No | UFH 25 U/ml (purge fluid) | Yes | Recovery |
IMP 19 | Cardiogenic shock (arrhytmia) | Coronary perfusion, circulatory support, severe AI | IMPELLA 2.5 | No | IV bivalirudin | No | Recovery |
IMP 20 | Cardiogenic shock (coronary artery disease) | Coronary perfusion, circulatory support | IMPELLA CP | No | IV bivalirudin | No | Recovery |
IMP 21 | Cardiogenic shock (chronic heart failure, multiple valvulopathy) | LV venting during VA ECMO | IMPELLA 2.5, VA ECMO, IABP | Yes | IV bivalirudin, UFH 25 U/ml (purge fluid) | No | Death (MOF-withdrawal of care) |
IMP 22 | CSMI (STEMI) | Coronary perfusion, circulatory support, moderate AI | IMPELLA CP | Yes | UFH 25 U/ml (purge fluid) | No | Recovery |