Left and Right-Side Impella Support in Cardiogenic Shock

May 16, 2018

Dr. Michael McDaniel of Emory School of Medicine and Dr. Rajesh Sachdeva of Morehouse School of Medicine present a case review of left and right side Impella support for a patient in cardiogenic shock. The 54 year old patient presented with comorbidities including hypertension. In the cath lab, an occlusion of the proximal LAD was found. Physicians implanted stents and after fourteen minutes in the cath lab, the patient’s blood pressure increased and an Impella CP was placed for hemodynamic support. The team placed a right heart catheter to monitor hemodynamics and diagnose the persistent hypotension. Additionally, the team calculated the PAPI score and found that the patient was in RV failure and an Impella RP was placed. Tune in to hear more about this case.

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