“…The Impella catheter can be placed in different anatomical sites: femoral artery, innominate artery, axillary artery and carotid artery, 1,3 however, regardless of the access site, the Impella catheter must be properly positioned (Figure 3(a)) to provide optimal hemodynamic support and minimize the risk of complications including hemolysis, mitral valve apparatus damage and arrhythmias.Figure 3.(a) Work-art representation of the ultrasound anatomy a transthoracic parasternal long-axis view of the left ventricle (courtesy of Abiomed, Danvers, MA, USA); (b) Transthoracic parasternal long-axis view of the left ventricle: evaluation of the Impella position (3.5 cm distance from the tear drop to the aortic annulus). RV: right ventricle, LV: left ventricle; LA: left atrium; AA: ascending Aorta.…”
Section: How To Check the Impella Catheter Positionmentioning
confidence: 99%
“…The Impella catheter can be placed in different anatomical sites: femoral artery, innominate artery, axillary artery and carotid artery, 1 , 3 however, regardless of the access site, the Impella catheter must be properly positioned ( Figure 3(a) ) to provide optimal hemodynamic support and minimize the risk of complications including hemolysis, mitral valve apparatus damage and arrhythmias. Figure 3.…”
Section: How To Check the Impella Catheter Positionmentioning
confidence: 99%
“…The occurrence of stroke is rare in children supported with Impella, 1 , 3 however, embolization of clots around the pump may happen and should be properly monitored. 22 …”
Section: Complications Associated With Use Of Impellamentioning
confidence: 99%
“…1,2 Recent data suggest that the temporary MCS Impella (Abiomed, Danvers, MA, USA), used in adults for the management of cardiogenic shock, can be safely used in children with acute heart failure. 1,3 However, these patients must have specific anatomic condition including an adequate length of the left ventricle (LV) and of the ascending aorta and, an adequate peripheral vascular access diameter to grant optimal functioning of the device. 4 Based on these considerations and on the increasing use of the Impella device in children, the pediatric nurse should be adequately trained and acquire specific competencies in Impella management.…”
Background: Cardiogenic shock in children still carries a high mortality risk despite advances in medical therapy. The use of temporary mechanical circulatory supports is an accepted strategy to bridge patients with acute heart failure to recovery, decision, transplantation or destination therapy. These devices are however limited in children and extracorporeal membrane oxygenation (ECMO) remains the most commonly used device. Veno-arterial ECMO may provide adequate oxygen delivery, but it does not significantly unload the left ventricle, and this may prevent recovery. To improve the likelihood of left ventricular recovery and minimize the invasiveness of mechanical support, the Impella axial pump has been increasingly used in children with acute heart failure in the last decade. Purpose: There are still limited data describing the Impella indications, management and outcomes in children, therefore, we aimed to provide a comprehensive narrative review useful for the pediatric nurses to be adequately trained and acquire specific competencies in Impella management.
“…The Impella catheter can be placed in different anatomical sites: femoral artery, innominate artery, axillary artery and carotid artery, 1,3 however, regardless of the access site, the Impella catheter must be properly positioned (Figure 3(a)) to provide optimal hemodynamic support and minimize the risk of complications including hemolysis, mitral valve apparatus damage and arrhythmias.Figure 3.(a) Work-art representation of the ultrasound anatomy a transthoracic parasternal long-axis view of the left ventricle (courtesy of Abiomed, Danvers, MA, USA); (b) Transthoracic parasternal long-axis view of the left ventricle: evaluation of the Impella position (3.5 cm distance from the tear drop to the aortic annulus). RV: right ventricle, LV: left ventricle; LA: left atrium; AA: ascending Aorta.…”
Section: How To Check the Impella Catheter Positionmentioning
confidence: 99%
“…The Impella catheter can be placed in different anatomical sites: femoral artery, innominate artery, axillary artery and carotid artery, 1 , 3 however, regardless of the access site, the Impella catheter must be properly positioned ( Figure 3(a) ) to provide optimal hemodynamic support and minimize the risk of complications including hemolysis, mitral valve apparatus damage and arrhythmias. Figure 3.…”
Section: How To Check the Impella Catheter Positionmentioning
confidence: 99%
“…The occurrence of stroke is rare in children supported with Impella, 1 , 3 however, embolization of clots around the pump may happen and should be properly monitored. 22 …”
Section: Complications Associated With Use Of Impellamentioning
confidence: 99%
“…1,2 Recent data suggest that the temporary MCS Impella (Abiomed, Danvers, MA, USA), used in adults for the management of cardiogenic shock, can be safely used in children with acute heart failure. 1,3 However, these patients must have specific anatomic condition including an adequate length of the left ventricle (LV) and of the ascending aorta and, an adequate peripheral vascular access diameter to grant optimal functioning of the device. 4 Based on these considerations and on the increasing use of the Impella device in children, the pediatric nurse should be adequately trained and acquire specific competencies in Impella management.…”
Background: Cardiogenic shock in children still carries a high mortality risk despite advances in medical therapy. The use of temporary mechanical circulatory supports is an accepted strategy to bridge patients with acute heart failure to recovery, decision, transplantation or destination therapy. These devices are however limited in children and extracorporeal membrane oxygenation (ECMO) remains the most commonly used device. Veno-arterial ECMO may provide adequate oxygen delivery, but it does not significantly unload the left ventricle, and this may prevent recovery. To improve the likelihood of left ventricular recovery and minimize the invasiveness of mechanical support, the Impella axial pump has been increasingly used in children with acute heart failure in the last decade. Purpose: There are still limited data describing the Impella indications, management and outcomes in children, therefore, we aimed to provide a comprehensive narrative review useful for the pediatric nurses to be adequately trained and acquire specific competencies in Impella management.
“…Since its introduction into clinical practice, the Impella 5.5 device (Abiomed Inc) has been used for cardiogenic shock in acquired heart disease as a bridge to recovery, definitive left ventricular assist device (LVAD) placement, or to transplantation. 1 , 2 However, its use for postcardiotomy support in adult patients with complex congenital heart disease (ACHD) undergoing reoperative cardiac surgery, has yet to be described. We report such a case requiring special planning to facilitate satisfactory placement of an Impella 5.5 device.…”
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