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The pump was first used on 25 April 1988 in a 61 years old man, a recent heart transplant recipient who was in the midst of a profound acute episode of rejection and cardiogenic shock. The pump successfully sustained him for 46 hours while there had been sufficient recovery of myocardial contractility to redraw the Hemopump support. [5]
Impella heart pumps are percutaneous microaxial pumps that act as mechanical circulatory support devices in patients in need of hemodynamic support. [11] The pumps are mounted on support catheters and typically inserted through the femoral artery, although axillary and subclavian artery approaches are not uncommon. [12]
In patients with acute signs of heart failure, small percutaneous (introduced to the heart through the skin into a blood vessel rather than through an incision) VADs such as the Impella 5.5, Impella RP, and others can be introduced to either the left or right ventricle (depending on the patient-specific needs) using a wire and that is ...
Clinical research indicates that as the size of the myocardial scar increases, so does the likelihood of the patient to develop heart failure. [7] Acute cardiac unloading decreases cardiac MVO2 and has been demonstrated to limit the amount of scar tissue that forms, thus preserving heart function after a heart attack. [8] [9]
During a protected percutaneous coronary intervention (Protected PCI) procedure, "the Impella 2.5 heart pump helps maintain a stable heart function by pumping blood for the heart. This gives a weak heart muscle an opportunity to rest and reduces the heart’s workload, preventing the heart from being overstressed by the procedure as coronary ...
Heart failure is a chronic disease that usually progresses gradually. [20] The rate of progression and the degree of symptoms of the disease varies between different patients. Cardiac contractility modulation therapy aims to treat heart failure through a medium- to long-term treatment, over the course of weeks and months. [citation needed]
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The intra-aortic balloon pump (IABP) is a mechanical device that increases myocardial oxygen perfusion and indirectly increases cardiac output through afterload reduction. It consists of a cylindrical polyurethane balloon that sits in the aorta , approximately 2 centimeters (0.79 in) from the left subclavian artery . [ 1 ]
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