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Increasing use of the Impella®-pump in severe cardiogenic shock: a word of caution

Camboni, Daniele ; Schmid, Christof ; Mueller, Thomas ; Lunz, Dirk ; Rastogi, Priyank ; Floerchinger, Bernhard ; Philipp, Alois ; Vasin, Sergey



Abstract

Impella (R) pumps are increasingly utilized in patients in cardiogenic shock. We report on a case series where Impella support was insufficient, and a switch to venoarterial extracorporeal membrane oxygenation (VA ECMO) became necessary. ECMO patients with previous Impella devices were identified utilizing our institutional ECMO database. Since 2014, 10 patients with a mean age of 62 +/- 3 years ...

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