Dr. Giuseppe Tarantini (Professor and Director of Interventional Cardiology, University of Padua, Italy) speaks on the importance of the early unloading concept in cardiogenic shock (CS), in bringing about improvements in systemic circulation ahead of coronary reperfusion, with the hope that this could improving mortality rates in such patients. The choice of left ventricular mechanical … Continue reading “Impella in Cardiogenic Shock: The Importance of Early Unloading”
Category: Cardiogenic Shock
Dr. Alex Truesdell of Virginia Heart discusses how a “team of teams” approach to treating cardiogenic shock can standardize care and improve outcomes. He also discusses the recent improvement in cardiogenic shock survival at Inova Heart and Vascular. After Inova Heart and Vascular Institute instituted a best practice protocol that includes early use of percutaneous … Continue reading “Dr. Alexander Truesdell: “Team of Teams” for Treating Cardiogenic Shock”
“This is a coalition of the willing…I think all of you have to decide tomorrow when you go home, in your hospital how are you going to treat your patients if you’re doing cardiogenic shock angioplasty and balloon pump you will have a 50 percent survival and if that’s not good enough for you, then … Continue reading “Dr. Bill O’Neill: New Data from NCSI & Improving Outcomes in Cardiogenic Shock”
Dr. Shon Chakrabarti joins Dr. Alex Truesdell who talks to us about best practices for vascular access and closure and details a step-by-step process. Dr. Truesdell emphasizes that safe vascular access and closure are just as important as the primary procedure. Watch the video to learn more. Subscribe or join the conversation by following us … Continue reading “Best Practices for Access and Closure with the Impella® Device”
Dr. Alex Truesdell provides his top 3 tips for safe access and closure with the Impella device which include utilizing all of your senses, developing a rhythm, and more. Watch the video to learn more. Subscribe or join the conversation by following us on Twitter: @ProtectedPCI NPS-178 To learn more about the Impella® platform of heart pumps, … Continue reading “Quick Tips on Access and Closure”
Dr. Alexander Truesdell, Interventional Cardiologist at Inova Heart and Vascular Institute discusses his editorial, the War on Shock, published in the Journal of Invasive Cardiology. The editorial compares his experience as a military physician with his experience as a cardiologist treating cardiogenic shock. Watch the video to learn which systems of care Dr. Truesdell suggests … Continue reading “Identifying Cardiogenic Shock Early with a Heart Team Approach”
Dr. Susan Joseph, Advanced Heart Failure Specialist from Baylor University Medical Center, discusses perspectives on management of Impella patients in critical care units, particularly the use of invasive hemodynamic monitoring. PA catheters, or right heart catheterization, provide a minute to minute constant source of information about a patient with shock and their filling pressures, pulmonary … Continue reading “Importance of Right Heart Catheterization”
- This retrospective study evaluated observational data of patients receiving either early or delayed initiation of Impella for the management of acute myocardial infarction complicated by cardiogenic shock (AMICS).
- Receiving mechanical circulatory support (MCS) prior to percutaneous coronary intervention (PCI) compared with post-PCI initiation was associated with a higher survival rate to discharge among AMICS patients.
- Overall survival to discharge for the cohort was 44%.
- Additionally, early initiation of MCS at the first signs of shock and before inotropes, vasopressors, and PCI correlated with a higher rate of survival.