Table 2. Case series of patients with advanced heart failure or cardiogenic shock underwent Impella implantation.
Patient | Sex | Age, y | Duration of Impella, h | Cause | Target vessel | EuroScore | AKI | Complication | Outcome | EF, % | PCWP, mm Hg | PA, mm Hg |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | M | 75 | 2 | NSTEMI | LAD, RCA | 29 | None | None | Good | 5–10 | 40 | 60/21 |
2 | M | 71 | 96 | Cardiac arrest | LIMA | 32 | Yes | HIT | Dead | 25 | 34 | 59/28 |
3 | F | 71 | 1.5 | Cardiac arrest STEMI |
LAD | 45 | Yes | None | Good | 30 | 33 | 55/23 |
4 | F | 61 | 3 | NSTEMI | LAD, RCA | 30 | Yes | None | Good | 15 | 30 | 61/33 |
5 | F | 76 | 16 | Cardiac arrest | LAD | 46 | None | None | Good | 20 | 29 | 53/21 |
6 | F | 61 | 24 | STEMI | LAD, RCA | 30 | None | None | Good | 25 | 35 | 62/35 |
7 | M | 53 | 196 | NSTEMI | LM, LCX | 50 | None | Leg ischemia | Good | 5 | 13 | 68/38 |
8 | M | 69 | 24 | NSTEMI | LCX | 65 | None | None | Good | 5–10 | 39 | 78/29 |
9 | M | 77 | 96 | NSTEMI | LCX, LAD | 40 | Yes | None | Good | 5–10 | 27 | 50/31 |
10 | M | 83 | 72 | NSTEMI | LCX, RCA, LAD | 60 | Yes | None | Dead | 20 | 27 | 55/25 |
Abbreviations: AKI, acute kidney injury; EF, ejection fraction; HIT, heparin induced thrombocytopenia; LAD, left anterior descending artery; LCX, left circumflex; LIMA, left internal mammary artery; LM, left main; LVAD, left ventricle assisting device; NSTEMI, non-ST elevated myocardial infarction ; PA, pulmonary artery pressure; PCI, percutaneous coronary intervention; PCWP, pulmonary capillary wedge pressure; RCA, right coronary artery; STEMI, ST elevated myocardial infarction.