Key result
Impella support is linked to rare iatrogenic aortic and mitral valve injuries.
Why the study?
There is limited evidence regarding possible valvular complications such as aortic and mitral valve regurgitation or injury following Impella device implantation.
Answers are grounded in this paper and cite their sources.
Prompts echocardiographic vigilance with Impella; leaves open true incidence and risk factors.
BACKGROUND: Despite clear clinical benefits, there is limited evidence regarding possible complications of the novel mechanical support device Impella. Aortic and mitral valve regurgitation or injury are rare but potential complications following implantation of the Impella device. METHODS: To evaluate valvular complications after the Impella device implantation, we have performed a comprehensive search of literature on multiple sites on this topic. RESULTS AND CONCLUSION: Ten case reports and one observational retrospective study were identified, with a total number of 19 patients identified. This article aims to draw attention to potential periprocedural complications relating to the Impella, in particular iatrogenic aortic and mitral valve injuries. Moreover, we have summarized our recommendations emphasizing the need for careful management and meticulous follow-up of these patients to avoid such potentially devastating complications.
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Sef et al. (2021) conducted a review in Valvular complications (n=19). Impella device implantation was evaluated on Iatrogenic aortic and mitral valve injuries. A literature review identified 19 patients highlighting potential periprocedural complications relating to the Impella device, particularly iatrogenic aortic and mitral valve injuries.
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