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Tag Archives: resuscitation

August 2023 Br J Cardiol 2023;30:117–8 doi:10.5837/bjc.2023.024

Mechanical life support algorithm for the emergency management of patients with left-sided Impella

Waqas Akhtar, Kristine Kiff, Agnieszka Wypych-Zych, Sofia Pinto, Audrey K H Cheng, Winston Banya, Alexander Rosenberg, Christopher T Bowles, John Dunning, Vasileios Panoulas

Abstract

Introduction The Johnson and Johnson Inc. (formerly Abiomed Inc.) Impella left ventricular assist devices (LVADs) are catheter-based, intravascular, transaortic micro-axial flow pumps that supplement native ventricular function while providing ventricular offloading. There are a range of left ventricular Impella devices of increasing size from Impella 2.5, Impella Cardiac Power (CP), Impella 5.0 and Impella 5.5. The Impella 2.5 and CP are inserted via a percutaneous femoral access route, and provide up to 3.5 L/min blood flow, whereas the Impella 5.0 is deployed surgically via a branch graft to the subclavian artery and provides up to 5 L/m

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