Does Impella malrotation affect left ventricle unloading and haemodynamics in cardiogenic shock patients?
Impella malrotation in cardiogenic shock patients is associated with suboptimal left ventricular unloading and worsened pulmonary and right ventricular hemodynamics.
In CS patients, Impella malrotation is associated with suboptimal unloading of the LV, worse pulmonary haemodynamics and worse indexes of right ventricular afterload.
Baldetti et al. (Tue,) studied this question.