Utilization of the Impella for hemodynamic support during percutaneous intervention and cardiogenic shock: an insight

Nikhil Nalluri, Nileshkumar Patel, Samer Saouma, Viswajit Reddy Anugu, Dixitha Anugula, Deepak Asti, Varshil Mehta, Varun Kumar, Varunsiri Atti, Sushruth Edla, Rasleen K. Grewal, Hafiz M. Khan, Ritesh Kanotra, Gregory Maniatis, Ruben Kandov, James C. Lafferty, Michael Dyal, Carlos E. Alfonso, Mauricio G. Cohen

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


Introduction: Impella is a catheter-based micro-axial flow pump placed across the aortic valve, and it is currently the only percutaneous left ventricular assist device approved for high-risk percutaneous coronary intervention and cardiogenic shock. Areas Covered: Even though several studies have repeatedly demonstrated the excellent hemodynamic profile of Impella in high-risk settings, it remains underutilized. Here we aim to provide an up-to-date summary of the available literature on Impellas use in High risk settings as well as the practical aspects of its usage. Expert Commentary: Percutaneous coronary interventions in high rsk settings have always been challenging for a physician. Impella 2.5 and CP, have been proven safe, cost effective and feasible in High Risk Percutaneous coronary Interventions with an excellent hemodynamic profile.

Original languageEnglish (US)
Pages (from-to)789-804
Number of pages16
JournalExpert Review of Medical Devices
Issue number10
StatePublished - Oct 3 2017


  • Percutaneous coronary interventions: PCI
  • acute myocardial infarction with cardiogenic shock: AMICS
  • cardiogenic shock: CS
  • high-risk percutaneous coronary interventions: HRPCI
  • intra-aortic balloon pump: IABP
  • mechanical circulatory support: MCS
  • percutaneous ventricular assist device: pVAD
  • refractory cardiac arrest: RCA

ASJC Scopus subject areas

  • Surgery
  • Biomedical Engineering


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