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Impella Support in Interventional Cardiology

Use of the Impella microaxial pump for hemodynamic support during high-risk PCI and cardiogenic shock.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Impella Support in Interventional Cardiology?

Impella is a percutaneous circulatory support device placed via the femoral or axillary artery that uses a microaxial pump to move blood from the left ventricle to the aorta. It is used in high-risk PCI (complex LM or multivessel disease with low EF) and in the treatment of cardiogenic shock.

During the procedure Impella unloads the left ventricle, raises coronary perfusion pressure, stabilizes hemodynamics and reduces myocardial oxygen consumption. These features allow more advanced PCI strategies to be performed safely.

In cardiogenic shock, especially STEMI-related shock, Impella-based protocols aim to improve survival; this requires appropriate patient selection, early placement and multidisciplinary shock team management.

Symptoms

Cardiogenic shock
Acute heart failure
Refractory hypotension
Oliguria
Altered consciousness
Acute MI
End-organ hypoperfusion

Risk Factors

STEMI complications
Multivessel disease
Low EF and LMCA lesion
Advanced age
Chronic kidney disease
Diabetes mellitus
High SYNTAX score

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chest pain with shock
  • Angina with low blood pressure
  • Pre-PCI high-risk assessment
  • Mechanical complication
  • Rising inotrope requirements
  • Rising lactate

Treatment Methods

01
Impella CP / 5.0 / 5.5 placement
02
High-risk PCI
03
Cardiogenic shock algorithms
04
Multi-inotrope support
05
Anticoagulation management
06
Multidisciplinary shock team
07
Bridge to LVAD or transplantation

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.