Clement Delmas, Hélène Barbosa, Charles-Henri David, Frédéric Bouisset, Pierre-Guillaume Piriou, François Roubille, Juergen Leick, Marin Pavlov, Guillaume Leurent, Evgenij V Potapov, Axel Linke, Johannes Mierke, Pia Lanmüller, Norman Mangner
Ventricular septal defect (VSD) is a rare but severe complication of myocardial infarction (MI). Temporary mechanical circulatory support (MCS) can be used as a bridge to VSD closure, heart transplantation, or ventricular assist device. We describe the use of Impella device in this context based on a multicenter European retrospective registry (17 centers responded). Twenty-eight post-MI VSD patients were included (Impella device were 2.5 for 1 patient, CP for 20, 5.0 for 5, and unknown for 2). All patients were in cardiogenic shock with multiple organ failure (SAPS II 41 [interquantile range {IQR} = 27-53], lactate 4...
December 1, 2023: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs