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Published byΚαλλίστη Κουταλιανός Modified over 6 years ago
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Impella ventricular support in clinical practice: Collaborative viewpoint from a European expert user group Francesco Burzotta, Carlo Trani, Sagar N. Doshi, Jonathan Townend, Robert Jan van Geuns, Patrick Hunziker, Bernhard Schieffer, Konstantinos Karatolios, Jacob Eifer Møller, Flavio L. Ribichini, Andreas Schäfer, José P.S. Henriques International Journal of Cardiology Volume 201, Pages (December 2015) DOI: /j.ijcard Copyright © 2015 The Authors Terms and Conditions
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Fig. 1 Geographic distribution of Impella per indication comparing Germany, France, The Netherlands and Italy. International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 2 The Impella (a) Catheter pumps and (b) Automated Impella Controller. International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 3 Pressure–volume loop: Normal conditions (brown), Acute Heart Failure without hemodynamic support (blue), with Impella CP support (green) and with ECMO support (red). The loop area is an estimate of the mechanical work performed by the ventricle. Note the area reduction (work reduction) by the Impella device and the characteristic oblique vertical lines in the latter, indicating continuous emptying of the ventricle even in the “isovolumic” phases. Data from the Basel Heart Simulator Project, P. Hunziker. International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 4 Patient selection in high-risk PCI.
International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 5 Patient selection in cardiogenic shock.
International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 6 Echo presentation of Impella in position, (a) clinical image and (b) schematic drawing. International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 7 Preferred strategy to start an Impella program.
International Journal of Cardiology , DOI: ( /j.ijcard ) Copyright © 2015 The Authors Terms and Conditions
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