ABSTRACT:
The Impella small catheter like 6 inch long device which works on principle of submersible water pump. It is inserted in to heart without any surgical procedure it provides 2.5- 5.5 litters/min blood flow. Impella device is available in various types according to their location, size and flow rate. There are some indications of Impella device implantation cardiac failure, high risk percutaneous intervention, risk of bleeding, left ventricular failure ect. This device is contraindicated in some disease conditions like Left Ventricular Thrombus, Ventricular Septal Defect, Severe Peripheral Arterial Disease, Aortic Stenosis and Regurgitation, Mechanical Haemolysis, Peripheral Vascular Ischemia. In this article we provide information about Impella device. There are total 57 cases has done till 2019 were Impella 5.0 inserted in 14 cases via axillaries access. In 36 cases Impella CP inserted via percutaneous Trans femoral approach, but one, in a young patient, who due to the small calibre of his femoral artery required inter positioning of a 6?mm Dacron graft on his common femoral artery. In 07 cases Impella RP were implanted percutaneously through the femoral accesses.
Cite this article:
Mayavati Tupere, Lakshman Mane. The Impella Device. A and V Pub International Journal of Nursing and Medical Research 2024; 3(1):33-6. doi: 10.52711/ijnmr.2024.07
Cite(Electronic):
Mayavati Tupere, Lakshman Mane. The Impella Device. A and V Pub International Journal of Nursing and Medical Research 2024; 3(1):33-6. doi: 10.52711/ijnmr.2024.07 Available on: https://ijnmronline.com/AbstractView.aspx?PID=2024-3-1-7
REFERENCE:
1. A tiny pump – an Impella device – can save the lives of patients struggling with heart diseases, and does not show any mortality concerns, the United States Food and Drugs Administration has said in its post-approval study recently. The Hindu, ET Health world.
2. María Monteagudo, Vela, Andre Simon, Fernando Riesgo, Gil, Alex Rosenberg, Miles Dalby, Tito Kabir, Diana García, Saez, Vasileios Panoulas, Clinical Indications of Impella Short-Term Mechanical Circulatory Support in a Tertiary Centre. https://doi.org/10.1016/j.carrev.2019.12.010.
3. James J. Glazier, Amir Kaki. The Impella Device: Historical Background, Clinical Applications and Future Directions. International Journal of Angiology. 2019; 28(2): 118–123. DOI https://doi.org/10.1055/s-0038-1676369.
4. Rami Zein, Chirdeep Patel, Adrian Mercado-Alamo, Theodore Schreiber and Amir Kaki. A Review of the Impella Devices. Interventional Cardiology: Reviews, Research, Resources, Interventional Cardiology. 2022; 17: 05. DOI: https://doi.org/10.15420/icr.2021.11
5. Abiomed. Impella 2.5 with the automated Impella controller: circulatory support system instruction for use. 2016
6. Lippincott, Williams and Wilkins. Ventricular assisted device (Impella) percutaneous management. Nursing procedure and skill. 2016.
7. Mc Culloch, B. Use of the Impella 2.5in high risk percutaneous coronary intervention. Critical Care Nurse. 2011; 31(1): e1-e16.