Abiomed sent customers voluntary recall of removal in May 2024.
9 Impella CP of a single lot failed inspection but were mistakenly distributed.
Expanded and detailed information in this video:
Source FDA:
HEARTMATE LVAD EOGO: EXTRINSIC OUTFLOW GRAFT OBSTRUCTION (+)
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Abbott Heartmate EOGO: Extrinsic Outflow Graft Obstruction.
Extrinsic outflow graft obstruction (EOGO) is triggered by accumulation of acellular biodebris between outflow graft and bend relief.
This accumulation occurs gradually over an extended period of support (> 2 years).
Extended and detailed information in this video:
Tags: LVAD, Heartmate 2 and 3, EOGO, biodebris, acellular, outflow graft, bend, relief, gore tex, incidence, gelatinous, matrix, fabric, layers, hematoxylin, eosin, animation, low flow, alarm, hemodynamic compromise, death, shock, heart failure, CT angiogram, angiography, IVUS, stent, surgical decompression, pump replacement, heart transplantarion.
IMPELLA DEVICE TUTORIAL GUIDE 007: IMPELLA CP INDICATIONS, CONTRAINDICATIONS AND OF-LABEL USE (+)
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• Impella tutorial 001. Physics.
• Impella tutorial 002. LVEDP and CO monitoring.
• Impella tutorial 003: Physiology.
• Impella tutorial 004: Smartassist.
• Impella tutorial 005: History.
• Impella tutorial 006: Family.
• Impella tutorial 007: Indications.
We could distinguish between the approved or on-label indications of Impella and the indications considered in real-world use.
Expanded and detailed information in this video:
Tags: impella cp, indication, contraindication, off-label use, FDA, high risk pci, percutaneous coronary intervention, left main, cto, cronic total occlusions, multivessel, bifurcation, inestability, cardiogenic shock, AMI, acute myocardial infarction, surgery, myocarditis, ecmella, ecpella, arrhythmia, ablation, support, ventricular septal rupture, transcava, why would a patient need an impella?
IMPELLA DEVICE TUTORIAL GUIDE 006: IMPELLA FAMILY (+)
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• Impella tutorial 001. Physics.
• Impella tutorial 002. LVEDP and CO monitoring.
• Impella tutorial 003: Physiology.
• Impella tutorial 004: Smartassist.
• Impella tutorial 005: History.
• Impella tutorial 006: Family.
• Impella tutorial 007: Indications.
Nowadays, we can say that the Impella catheters available for use in clinical practice are:
🔹LV support:
- Impella CP
- Impella 5.5
🔹RV support:
- Impella RP
- Impella RP Flex
Expanded and detailed information in this video:
Tags: impella, impella cp, impella 5.5, inpella rp, impella rp flex, impella eco, impella btr, size, flow, indication, insertion, femoral artery, aorta, axillar artery, expandable, cardiac power, bridge to recovery,
IMPELLA DEVICE TUTORIAL GUIDE 004: SMARTASSIST SYSTEM (+)
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• Impella tutorial 001. Physics.
• Impella tutorial 002. LVEDP and CO monitoring.
• Impella tutorial 003: Physiology.
• Impella tutorial 004: Smartassist.
• Impella tutorial 005: History.
• Impella tutorial 006: Family.
• Impella tutorial 007: Indications.
SmartAssist is a monitoring system integrated into the next-gen catheters and Impella console. It enables greater support, allows more precise positioning of the catheter, improved detection of suction events and better weaning guidance.
Expanded and detailed information in this video:
Tags: impella, smartassist, catheter, optical pressure sensor, laser, fiberoptic, position control, LVEDP, parameter accuracy, suction events, weaning management, formula, cardiac output, CO, cardiac power output, impella flow
IMPELLA TUTORIAL 003: PHYSIOLOGY (+)
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• Impella tutorial 001. Physics.
• Impella tutorial 002. LVEDP and CO monitoring.
• Impella tutorial 003: Physiology.
• Impella tutorial 004: Smartassist.
• Impella tutorial 005: History.
• Impella tutorial 006: Family.
• Impella tutorial 007: Indications.
IMPELLA PHYSIOLOGY.
1. Impella suctions blood from inlet and ejects it towards the outlet. Since the device consistently empties the ventricle during both systole and diastole, it diminishes both afterload and preload.
Expanded and detailed information about this topic in the following video:
Tags: impella, tutorial, guide, left ventricle pressure, smartassist, physiology, pv loop, uncoupling, impella management, cardiac output, coronary flow, wall stress.
IMPELLA PHYSICS AND PHYSIOLOGY, CARDIAC OUTPUT MONITORING (+)
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IMPELLA DEVICE TUTORIAL GUIDE 002, PHYSICS AND PHYSIOLOGY, CARDIAC OUTPUT MONITORING
The system can estimate the left ventricular pressure and display a real-time curve, as well as estimate the left ventricular end-diastolic pressure.
• Impella tutorial 001. Physics.
• Impella tutorial 002. LVEDP and CO monitoring.
• Impella tutorial 003: Physiology.
• Impella tutorial 004: Smartassist.
• Impella tutorial 005: History.
• Impella tutorial 006: Family.
• Impella tutorial 007: Indications.
Expanded and detailed information in this video:
Tags: impella, tutorial, guide, left ventricle pressure, current, flow, pressure gradient, systole, diastole, smartassist, smart-assist, smart assist, LVEDP, cardiac output, CO, Cardiac power output, CPO, pulse pressure, pulmonary artery catheter, swan ganz, controller, impella management, What is the physiology of Impella? What is the mechanism of action of Impella? Impella heart pump
LVAD AND ECG ARTIFACT, HOW TO PERFORM A PROPER ECG IN LVAD PATIENT. (+)
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Electrical artifacts in ECG are frequent after LVAD implantation, and they can complicate ECG interpretation
This is a summary, expanded and detailed content in this video:
It is hypothesized that centrifugal pump high-frequency oscillations cause noise artifacts on ECGs in patients using LVADs.
The L-vads currently operating in clinical practice are the Heartware, the heartmate 2, and the Heartmate 3. Each L-vad model has its own operating revolutions per minute level, generating different frequency interferences
So How to perform an ECG with minimal artifacts in a patient with an LVAD?
Tags: ecg, lvad, oscillation, artifact, high frequency, heartware, heartmate, heartmate 2, heartmate 3, hertz, artificial pulse, signal, p wave, qrs, t wave, filter, low pass filter, pacemaker, spike,amplitude