Category: Cardiogenic Shock


Impella in Cardiogenic Shock: The Importance of Early Unloading

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”

Dr. Alexander Truesdell: “Team of Teams” for Treating 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”

Quick Tips on Access and Closure

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”

Identifying Cardiogenic Shock Early with a Heart Team Approach

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”

Importance of Right Heart Catheterization

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”

Early Impella Support Associated with Increased Survival in Cardiogenic Shock

Key Takeaways

  • 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.
The use of mechanical circulatory support (MCS) in cardiogenic shock (CS) has been consistently shown to correlate with improved survival and assist interventionalists achieve complete revascularization.1,2,3 The use of MCS devices for the treatment of acute myocardial infarction complicated by cardiogenic shock (AMICS) may also provide hemodynamic support for some patients.4 Continue readingEarly Impella Support Associated with Increased Survival in Cardiogenic Shock