Clinical outcomes of hundred large Impella implantations in cardiogenic shock patients based on individual clinical scenarios.

Yukiharu Sugimura,Sebastian Bauer,Moritz Benjamin Immohr,Arash Mehdiani,Philipp Rellecke,Igor Tudorache,Patrick Horn,Ralf Westenfeld,Udo Boeken,Hug Aubin,Artur Lichtenberg,Payam Akhyari

Artificial organs（2023）

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摘要

Our results suggest that enhanced Impella support might have better clinical outcomes among acute CS patients supported with large Impella, those with AMI than those with no AMI. Young age and low lactate levels were predictors of successful bridging to pMCS/HTX and favorable clinical outcomes thereafter. The clinical outcomes of ECMELLA therapy might depend on noradrenaline dose at the time of Impella 5+ implantation.

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acute myocardial infarct, cardiogenic shock, extracorporeal membrane oxygenation, heart transplantation, Impella, left ventricular assist device

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