Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old
Catheterization and Cardiovascular Interventions2020Vol. 96(2), pp. 382–383
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Abstract
Rapid restoration of hemodynamics is key to successful shock management. The failing right ventricular (RV) is resilient and recovers if hemodynamics are supported while the underlying insulting cause is alleviated. Inotropic/vasopressor drugs constitute a "double-edged sword" that augment hemodynamics, but exacerbate myocardial and multiorgan injury. Impella RP mechanical support for RV shock stabilizes hemodynamics and is associated with favorable clinical outcomes.
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- → TCT-589 Meta-analysis of Early Initiation of Impella in Acute Myocardial Infarction and Cardiogenic Shock(2017)