Coronary artery bypass grafting under sole Impella 5.0 support for patients with severely depressed left ventricular function.

Impella 5.0 Ischemic cardiomyopathy Ischemic heart disease Low ejection fraction OPCAB

Journal

Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs
ISSN: 1619-0904
Titre abrégé: J Artif Organs
Pays: Japan
ID NLM: 9815648

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 08 03 2021
accepted: 18 06 2021
pubmed: 26 6 2021
medline: 1 6 2022
entrez: 25 6 2021
Statut: ppublish

Résumé

Selection of the ideal surgical procedure for coronary revascularization in patients with severe cardiac dysfunction at times may represent a challenge. In recent years, with the advent of surgical large microaxial pumps, e.g., Impella 5.0 (Abiomed Inc., Boston, USA), specific support and effective unloading of the left ventricle has become available. In the interventional field, good results have been achieved with smaller microaxial pumps in the setting of so-called protected percutaneous coronary intervention. In this study, we would like to share our early experience with surgical coronary revascularization under the sole support of Impella 5.0, omitting the use of heart-lung machine in three cases of severe cardiac dysfunction due to complex ischemic heart disease. Effective circulatory support intraoperatively and postoperatively speaks in favor of this technique in selected patients.

Identifiants

pubmed: 34169403
doi: 10.1007/s10047-021-01285-1
pii: 10.1007/s10047-021-01285-1
pmc: PMC9142466
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

158-162

Informations de copyright

© 2021. The Author(s).

Références

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Auteurs

Shintaro Katahira (S)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.
Department of Cardiothoracic Surgery, University Hospital, Tohoku University, Sendai, Japan.

Yukiharu Sugimura (Y)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Arash Mehdiani (A)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Alexander Assmann (A)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Philipp Rellecke (P)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Igor Tudorache (I)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Udo Boeken (U)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Hug Aubin (H)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Artur Lichtenberg (A)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany.

Payam Akhyari (P)

Department of Cardiac Surgery and Research Group for Experimental Surgery, University Hospital and Medical Faculty, Heinrich Heine University Hospital, Moorenstr. 5, 40225, Düsseldorf, Germany. Payam.Akhyari@med.uni-duesseldorf.de.

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Classifications MeSH