First Experience of Transfer with Impella 5.0 Over the Long Distance in Japan

Hori, Masakazu; Nakagaito, Masaki; Kinugawa, Koichiro

doi:10.1536/ihj.19-038

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…In the last few years, reports on worldwide experience of long-distance air transport have been published. 2 , 3 , 12–14 Guirgis 14 was the first to introduce the concept of international ‘spoke-to-hub’ network (from Japan to Canada) to increase availability of AHF therapies. Charon’s 2 group showed the feasibility of long-distance medical evacuation from the remote region of Reunion Island to tertiary centres able to provide heart transplantation in France.…”

Section: Mechanical Circulatory Support Long-distance Transfermentioning

confidence: 99%

The challenge of advanced therapies in the contemporary era: first in Europe ECPELLA long-distance transfer—a case report

Fiorelli,

Panoulas,

Riesgo Gil

et al. 2024

European Heart Journal - Case Reports

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Background The use of mechanical circulatory support (MCS) has markedly increased over the last decade, so have the inter-hospital transfers, with the aim of being able to offer advanced heart failure (AHF) therapies and centralising patients to tertiary centres. Case summary In this article, we present the first in Europe long-distance air transfer of a patient supported by Veno-Arterial Extracorporeal Membrane Oxygenator and Impella (ECPELLA), as a bridge to successful heart transplant. In our case report, a foreign young patient with AHF due to familiar cardiomyopathy required multiple MCS devices to achieve cardiovascular stability. After appropriate planning and multidisciplinary discussion, the patient was transferred on MCS to his country of origin via a fixed-wing airplane, in order to be assessed for heart transplantation. During take-off the Impella flows temporarily dropped and a suction alarm was displayed; however, this rectified without intervention and the rest of the flight was uneventful. One month after transfer, the patient underwent successful heart transplantation and remained clinically stable during the 12-month follow-up. Discussion Our experience links together the current challenges in the evolving AHF strategies and the increased need for inter-facility cooperation. Both these clinical and logistic challenges appear to lead to possible improved outcomes, after appropriate assessment, training and accurate planning. Our experience provides useful information on feasibility of long-distance transport of patients supported by ECPELLA in Europe.

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