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Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report

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Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report. / Volgmann, Constanze; Barten, Markus J; Al Assar, Yousuf; Grahn, Hanno; Metzner, Andreas; Söffker, Gerold; Schulte-Uentrop, Leonie; Magnussen, Christina; Kirchhof, Paulus; Kluge, Stefan; Doll, Susanne; Doll, Nicolas; Reichenspurner, Hermann; Bernhardt, Alexander M.

In: EUR HEART J-CASE REP, Vol. 7, No. 7, 07.2023, p. ytad293.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Volgmann, C, Barten, MJ, Al Assar, Y, Grahn, H, Metzner, A, Söffker, G, Schulte-Uentrop, L, Magnussen, C, Kirchhof, P, Kluge, S, Doll, S, Doll, N, Reichenspurner, H & Bernhardt, AM 2023, 'Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report', EUR HEART J-CASE REP, vol. 7, no. 7, pp. ytad293. https://doi.org/10.1093/ehjcr/ytad293

APA

Volgmann, C., Barten, M. J., Al Assar, Y., Grahn, H., Metzner, A., Söffker, G., Schulte-Uentrop, L., Magnussen, C., Kirchhof, P., Kluge, S., Doll, S., Doll, N., Reichenspurner, H., & Bernhardt, A. M. (2023). Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report. EUR HEART J-CASE REP, 7(7), ytad293. https://doi.org/10.1093/ehjcr/ytad293

Vancouver

Volgmann C, Barten MJ, Al Assar Y, Grahn H, Metzner A, Söffker G et al. Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report. EUR HEART J-CASE REP. 2023 Jul;7(7):ytad293. https://doi.org/10.1093/ehjcr/ytad293

Bibtex

@article{b3d11bea71a34682bc772ac08463fdad,
title = "Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report",
abstract = "BACKGROUND: In patients with cardiogenic shock the clinical treatment often involves temporary mechanical circulatory support for initial haemodynamic stabilization to enable further assessment of therapeutic strategies. The surgically implanted Impella 5.5 can be used for several indications like ventricular unloading, haemodynamic support during high-risk interventions, and as a bridge-to-transplant strategy.We present an interdisciplinary managed case of using Impella 5.5 for multiple indications and treatment strategies in one patient.CASE SUMMARY: A 66-year-old patient with known dilated cardiomyopathy was admitted with non-ST-elevation myocardial infarction and underwent urgent coronary bypass grafting. His native heart function did not recover and he experienced recurrent episodes of sustained ventricular tachycardia (VT) and electrical storm. He was evaluated for heart transplantation (OHT) and received a VT-ablation. However, he suffered an in-hospital cardiac arrest (IHCA) with subsequent implantation of an extracorporeal life support system (ECLS). After surgical placement of an Impella 5.5 due to left ventricular distension and pulmonary congestion, the ECLS was successfully weaned. He showed good neurological outcomes and underwent another high-risk VT-ablation. The patient was further stabilized under Impella 5.5 support in a bridge-to-transplant strategy. After 34 days he underwent a successful OHT.DISCUSSION: In this interdisciplinary case report the surgically implanted Impella 5.5 as temporary mechanical circulatory support was used for multiple different indications and treatment strategies like ventricular unloading, haemodynamic support during high-risk interventions, and as bridge-to-transplant strategy in one patient.",
author = "Constanze Volgmann and Barten, {Markus J} and {Al Assar}, Yousuf and Hanno Grahn and Andreas Metzner and Gerold S{\"o}ffker and Leonie Schulte-Uentrop and Christina Magnussen and Paulus Kirchhof and Stefan Kluge and Susanne Doll and Nicolas Doll and Hermann Reichenspurner and Bernhardt, {Alexander M}",
note = "{\textcopyright} The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.",
year = "2023",
month = jul,
doi = "10.1093/ehjcr/ytad293",
language = "English",
volume = "7",
pages = "ytad293",
journal = "EUR HEART J-CASE REP",
issn = "2514-2119",
publisher = "Oxford University Press",
number = "7",

}

RIS

TY - JOUR

T1 - Unloading, ablation, bridging and transplant: different indications and treatments using the Impella 5.5 as longer-term circulatory support in one patient-an interdisciplinary case report

AU - Volgmann, Constanze

AU - Barten, Markus J

AU - Al Assar, Yousuf

AU - Grahn, Hanno

AU - Metzner, Andreas

AU - Söffker, Gerold

AU - Schulte-Uentrop, Leonie

AU - Magnussen, Christina

AU - Kirchhof, Paulus

AU - Kluge, Stefan

AU - Doll, Susanne

AU - Doll, Nicolas

AU - Reichenspurner, Hermann

AU - Bernhardt, Alexander M

N1 - © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.

PY - 2023/7

Y1 - 2023/7

N2 - BACKGROUND: In patients with cardiogenic shock the clinical treatment often involves temporary mechanical circulatory support for initial haemodynamic stabilization to enable further assessment of therapeutic strategies. The surgically implanted Impella 5.5 can be used for several indications like ventricular unloading, haemodynamic support during high-risk interventions, and as a bridge-to-transplant strategy.We present an interdisciplinary managed case of using Impella 5.5 for multiple indications and treatment strategies in one patient.CASE SUMMARY: A 66-year-old patient with known dilated cardiomyopathy was admitted with non-ST-elevation myocardial infarction and underwent urgent coronary bypass grafting. His native heart function did not recover and he experienced recurrent episodes of sustained ventricular tachycardia (VT) and electrical storm. He was evaluated for heart transplantation (OHT) and received a VT-ablation. However, he suffered an in-hospital cardiac arrest (IHCA) with subsequent implantation of an extracorporeal life support system (ECLS). After surgical placement of an Impella 5.5 due to left ventricular distension and pulmonary congestion, the ECLS was successfully weaned. He showed good neurological outcomes and underwent another high-risk VT-ablation. The patient was further stabilized under Impella 5.5 support in a bridge-to-transplant strategy. After 34 days he underwent a successful OHT.DISCUSSION: In this interdisciplinary case report the surgically implanted Impella 5.5 as temporary mechanical circulatory support was used for multiple different indications and treatment strategies like ventricular unloading, haemodynamic support during high-risk interventions, and as bridge-to-transplant strategy in one patient.

AB - BACKGROUND: In patients with cardiogenic shock the clinical treatment often involves temporary mechanical circulatory support for initial haemodynamic stabilization to enable further assessment of therapeutic strategies. The surgically implanted Impella 5.5 can be used for several indications like ventricular unloading, haemodynamic support during high-risk interventions, and as a bridge-to-transplant strategy.We present an interdisciplinary managed case of using Impella 5.5 for multiple indications and treatment strategies in one patient.CASE SUMMARY: A 66-year-old patient with known dilated cardiomyopathy was admitted with non-ST-elevation myocardial infarction and underwent urgent coronary bypass grafting. His native heart function did not recover and he experienced recurrent episodes of sustained ventricular tachycardia (VT) and electrical storm. He was evaluated for heart transplantation (OHT) and received a VT-ablation. However, he suffered an in-hospital cardiac arrest (IHCA) with subsequent implantation of an extracorporeal life support system (ECLS). After surgical placement of an Impella 5.5 due to left ventricular distension and pulmonary congestion, the ECLS was successfully weaned. He showed good neurological outcomes and underwent another high-risk VT-ablation. The patient was further stabilized under Impella 5.5 support in a bridge-to-transplant strategy. After 34 days he underwent a successful OHT.DISCUSSION: In this interdisciplinary case report the surgically implanted Impella 5.5 as temporary mechanical circulatory support was used for multiple different indications and treatment strategies like ventricular unloading, haemodynamic support during high-risk interventions, and as bridge-to-transplant strategy in one patient.

U2 - 10.1093/ehjcr/ytad293

DO - 10.1093/ehjcr/ytad293

M3 - SCORING: Journal article

C2 - 37457054

VL - 7

SP - ytad293

JO - EUR HEART J-CASE REP

JF - EUR HEART J-CASE REP

SN - 2514-2119

IS - 7

ER -