loading page

Valvular Complications Following the Impella Device Implantation
  • +1
  • Davorin Sef,
  • Tito Kabir,
  • Nicholas Lees,
  • Ulrich Stock
Davorin Sef
Royal Brompton and Harefield NHS Foundation Trust
Author Profile
Tito Kabir
Royal Brompton and Harefield NHS Trust
Author Profile
Nicholas Lees
Royal Brompton and Harefield NHS Foundation Trust
Author Profile
Ulrich Stock
Royal Brompton and Harefield NHS Foundation Trust
Author Profile

Abstract

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.

Peer review status:ACCEPTED

17 Dec 2020Submitted to Journal of Cardiac Surgery
17 Dec 2020Assigned to Editor
17 Dec 2020Submission Checks Completed
21 Dec 2020Review(s) Completed, Editorial Evaluation Pending
22 Dec 2020Editorial Decision: Accept