Journal of Clinical Case Reports

Leonard Y Lee

Publications

• Case Report
  The Impella Device as a Temporary Bridge for Acute Mechanical Circulatory Support
  Author(s): Anthony Lemaire, Leonard Y Lee, Aziz Ghaly, Alan Spotnitz, Al Solina and George BatsidesAnthony Lemaire, Leonard Y Lee, Aziz Ghaly, Alan Spotnitz, Al Solina and George Batsides
  
  The mortality rate from cardiogenic shock after acute myocardialinfarction (MI) is high without reperfusion (70%-80%) [1]. Early revascularization is the basis of treatment of acute MI complicated by cardiogenic shock. Mechanical circulatory devices provide additional support for patients with refractory cardiogenic shock after revascularization alone has failed. These devices have been shown in the literature to improve outcomes in contrast to pharmacologic agents and/or intra-aortic balloon pump (IABP) demonstrated in the literature [2]. Short-term ventricular assists devices (VADs) can be initiated quickly and do not necessarily require a sternotomy. The Impella devices are minimally invasively placed, catheter mounted microaxial flow pumps. They are designed to directly unload the left ventricle, reduce myocardial workload and oxygen consumption while increasing cardiac output, co.. Read More»
  DOI: 10.4172/2165-7920.1000337

  Abstract PDF