Key result
Early ImpellaCP prevents hemodynamic instability and bridges to surgery in 2 AMI patients with VSD.
Why the study?
Mechanical support with Impella has been described in ischaemic ventricular septal defect, but its early use to prevent haemodynamic instability while deferring surgical repair warranted description.
Does early ImpellaCP implantation improve haemodynamic stability and allow bridging to delayed surgical repair in patients with acute myocardial infarction complicated by ventricular septal defect?
Population
Two patients with acute myocardial infarction complicated by ventricular septal defect not amenable to percutaneous closure
Comparison
Early percutaneous ImpellaCP implantation
Design
Two-case series report
Authors
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May support early ImpellaCP stabilization in post-MI VSD; hypothesis-generating and leaves open prospective validation.
Case Report (n=2)
Does early ImpellaCP implantation improve haemodynamic stability and allow bridging to delayed surgical repair in patients with acute myocardial infarction complicated by ventricular septal defect?
Early ImpellaCP implantation may provide effective ventricular unloading and hemodynamic stabilization in post-MI VSD, facilitating delayed surgical repair beyond the high-risk acute phase.
Via et al. (2020) conducted a case report in Acute myocardial infarction with ventricular septal defect (n=2). ImpellaCP was evaluated on Haemodynamic stability and bridging to surgical repair. Early implantation of ImpellaCP in 2 patients with acute myocardial infarction and ventricular septal defect successfully prevented haemodynamic instability and allowed bridging to surgical repair.
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