Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old

James A. Goldstein; Ivan Hanson

doi:10.1002/ccd.29165

journal article Aug 01, 2020

Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old

James A. Goldstein Ivan Hanson

Catheterization and Cardiovascular Interventions Vol. 96 No. 2 pp. 382-383 · Wiley

View at Publisher Save 10.1002/ccd.29165

Abstract

Key Points
Rapid restoration of hemodynamics is key to successful shock management.
The failing right ventricular (RV) is resilient and recovers if hemodynamics are supported while the underlying insulting cause is alleviated.
Inotropic/vasopressor drugs constitute a “double‐edged sword” that augment hemodynamics, but exacerbate myocardial and multiorgan injury.
Impella RP mechanical support for RV shock stabilizes hemodynamics and is associated with favorable clinical outcomes.

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References

5

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Levin T (2020)

[2]

10.1002/ccd.28830

[3]

Benefits of a novel percutaneous ventricular assist device for right heart failure: The prospective RECOVER RIGHT study of the Impella RP device

Mark B. Anderson, James Goldstein, Carmelo Milano et al.

The Journal of Heart and Lung Transplantation 10.1016/j.healun.2015.08.018

[4]

Truesdell AG "War on shock: lessons from the battlefield" J Invasive Card (2017)

[5]

U.S. Food and Drug Administration. Increased Rate of Mortality in Patients Receiving Abiomed Impella RP System—Letter to Health Care Providers. Feb 4 2019 (initial letter) Dec 2 2019(update).

Cited By

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Right Ventricular Myocardial Infarction—A Tale of Two Ventricles

James A. Goldstein, Stamatios Lerakis · 2024

Journal of the American College of...

Metrics

3

Citations

5

References

Details

Published: Aug 01, 2020
Vol/Issue: 96(2)
Pages: 382-383
License: View

Authors

J

James A. Goldstein

Department of Cardiovascular Medicine Beaumont Health System Royal Oak Michigan

I

Ivan Hanson

Department of Cardiovascular Medicine Beaumont Health System Royal Oak Michigan

Cite This Article

James A. Goldstein, Ivan Hanson (2020). Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old. Catheterization and Cardiovascular Interventions, 96(2), 382-383. https://doi.org/10.1002/ccd.29165

Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old

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