Discover and read the best of Twitter Threads about #impella
Most recents (8)
Our @MarinaPieri4 now presenting at @EACTAIC webinar: native heart recovery is the first choice option! 
In a patient with #ECPELLA #ECMELLA
Which device do you wean first?
#ECMO or #IMPELLA
Dieter Dauwe @DauweDieter
@EACTAIC @MarinaPieri4
Which device do you wean first?
#ECMO or #IMPELLA
Dieter Dauwe @DauweDieter
@EACTAIC @MarinaPieri4
Very happy to see our #UNLOADECMO trial started in 12/22 with 4 patients already included.
#MCS therapy in cardiogenic shock still very challenging.
#ECLS-SHOCK (#ECMO)and #DanGer-Shock (#Impella) running already and will be finished soon.
What are we investigating?🧵1/6 below:
#MCS therapy in cardiogenic shock still very challenging.
#ECLS-SHOCK (#ECMO)and #DanGer-Shock (#Impella) running already and will be finished soon.
What are we investigating?🧵1/6 below:
🧵2/6 @BenediktSchrage showed earlier that "LV Unloading Is Associated With Lower Mortality in Patients With CS Treated With VA-ECMO"
ahajournals.org/doi/10.1161/CI…
Large study (686 patients), but obviously not prospective and randomized. But that's needed in CS (and everywhere)
ahajournals.org/doi/10.1161/CI…
Large study (686 patients), but obviously not prospective and randomized. But that's needed in CS (and everywhere)
🧵3/6 Others @benhibbertMDPhD showed this as well in a meta-analysis @jaccjournals jacc.org/doi/10.1016/j.…
Please retweet and share if you support my and others' vaccine injury recoveries.
My fiancé and I were supposed to get married in July 2022. Given the first 2 vaccine mandates, we figured that we had no choice but to keep on taking the boosters in order to be able to travel for our honeymoon / have liberties to go to stores etc.
We decided to take the 3rd @moderna_tx booster anticipating that perhaps it would also be mandated by the #Canadian #government.
Morning everyone. Here’s a challenge to start the day. Can you figure out what MCS this patient is receiving by looking at these pipes??
You can see the 4 cannulae in this X-ray. The RVAD drainage is from the RA and returns to the PA. The LVAD drains LV apex and returns to ascending aorta. You’ll also notice the lungs look ok and the patient isn’t intubated….. so why the oxygenator in the RVAD…….?
3/ A little out of the realm of this thread, #Impella and other mechanical circulatory support are part of a larger strategy to treat cardiogenic shock. Check out the @SCAI classification system below for more information
4/ Impellas are placed via femoral or axillary artery, into the aorta, & across the aortic valve. There is an inlet on the LV side and an outlet on the aortic side. There are a number of different Impellas, each of which have different flow rates, lumen size, and access needs. 👇
5/ However, the structural design Impellas is grossly similar. The tip of the catheter has a flexible pigtail, intended to prevent mechanical injury of the ventricle (absent on the larger LD and 5.5 models). Important- look at the flow rate, up to 5 LPM with the 5.5! 🤯
1/9 🅲🅰🆂🅴-🅱🅰🆂🅴🅳 🆃🆄🆃🅾🆁🅸🅰🅻 4
MECHANICAL CIRCULATORY SUPPORT
@ACCinTouch @agtruesdell @ErikOsborn77 @mirvatalasnag #ACCIC #PedsCICU #PedsCards
🔹Background
🔹#PedsICU #ECMO Case
🔹Adult ECMO + #Impella Case
🔹Upcoming Webinar
MECHANICAL CIRCULATORY SUPPORT
@ACCinTouch @agtruesdell @ErikOsborn77 @mirvatalasnag #ACCIC #PedsCICU #PedsCards
🔹Background
🔹#PedsICU #ECMO Case
🔹Adult ECMO + #Impella Case
🔹Upcoming Webinar
2/9 EARLY RUNS OF #COVID19 PATIENTS ON #ECMO
Initial discouraging reports from 🇨🇳
Warning of igniting immune storm esp in patients with high IL-6
Nationwide centralization in 🇯🇵 to improve research & quality of evidence
🔹Time to ECMO
🔹Lung compliance
🔹Biomarkers
Initial discouraging reports from 🇨🇳
Warning of igniting immune storm esp in patients with high IL-6
Nationwide centralization in 🇯🇵 to improve research & quality of evidence
🔹Time to ECMO
🔹Lung compliance
🔹Biomarkers
3/9 GUIDANCE DOCUMENTS
Surviving Sepsis Guidelines
🔹VV ECMO for refractory hypoxemia despite optimizing ventilation rescue therapies & proning
🔹Intensive Care Med May 2020
doi:10.1007/s00134-020-06022-5
@AlhazzaniW
FDA Enforcement Policy expanded availability of devices
Surviving Sepsis Guidelines
🔹VV ECMO for refractory hypoxemia despite optimizing ventilation rescue therapies & proning
🔹Intensive Care Med May 2020
doi:10.1007/s00134-020-06022-5
@AlhazzaniW
FDA Enforcement Policy expanded availability of devices
#cardiotwitter -need help how would you manage this case. Attempting in 2 hours. EF normal and advanced Parkinson’s 68 yr old male @rwyeh @DKarmpaliotis @ajaykirtane @JAG24851 @mmamas1973
1- support no support 2-bifurcation strategy
1- support no support 2-bifurcation strategy
Thread on the reporting of hierarchical outcomes inspired by 1 of the only 2 #Impella RCTs.
A few months ago, @willsuh76 noted that rates of bleeding were not reported in PROTECT-II, a worry with any large bore percutaneous device.
