Background: Despite clear clinical benefits, there is limited evidence
regarding possible complications of the novel mechanical support device
Impella. Aortic and mitral valve regurgitation or injury are rare but
potential complications following implantation of the Impella device.
Methods: To evaluate valvular complications after the Impella device
implantation, we have performed a comprehensive search of literature on
multiple sites on this topic. Results and Conclusion: Ten case reports
and one observational retrospective study were identified, with a total
number of 19 patients identified. This article aims to draw attention to
potential periprocedural complications relating to the Impella, in
particular iatrogenic aortic and mitral valve injuries. Moreover, we
have summarized our recommendations emphasizing the need for careful
management and meticulous follow-up of these patients to avoid such
potentially devastating complications.