Minimally invasive biventricular mechanical circulatory support with Impella pumps as a bridge to heart transplantation: a first-in-the-world case report

Authors

• Kenneth Varian, Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195, USA.
• Weining David Xu, Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195, USA.
• Weiqin Lin, Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195, USA.
• Shinya Unai, Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Michael Z. Tong, Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Edward Soltesz, Department of Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Amar Krishnaswamy, Section of Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Samir Kapadia, Section of Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Scott Feitell, Rochester Regional HealthFollow
• Mazen Hanna, Heart and Vascular Institute, Cleveland Clinic, Cleveland, O, USA.
• Emer Joyce, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Paul Schoenhagen, Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Randall C. Starling, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• David O. Taylor, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
• Antonio L. Perez, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

Department

Cardiology

Document Type

Article

Publication Title

Esc Heart Failure

Abstract

Cardiogenic shock from biventricular failure that requires acute mechanical circulatory support carries high 30 day mortality. Acute mechanical circulatory support can serve as bridge to orthotopic heart transplant (OHT) in selected patients. We report a patient with biventricular failure secondary to rapidly progressive cardiac sarcoidosis refractory to medical management who was bridged to OHT with Impella 5.0 and Impella RP-temporary left and right ventricular assist devices, respectively. This is the first successful bridge to transplantation using these devices in biventricular heart failure and cardiogenic shock. We discuss considerations for using this strategy over veno-arterial extracorporeal membrane oxygenation or surgically implanted assist devices in patients with cardiogenic shock and biventricular failure as a bridge to OHT.

First Page

552

Last Page

554

DOI

10.1002/ehf2.12412

Volume

6

Issue

3

Publication Date

6-1-2019

Medical Subject Headings

Aged; Cardiomyopathies (surgery); Female; Heart Failure (surgery); Heart Transplantation (instrumentation, methods); Heart-Assist Devices; Humans; Sarcoidosis (surgery); Shock, Cardiogenic (surgery)

PubMed ID

30968544

Recommended Citation

Varian, K., Xu, W. D., Lin, W., Unai, S., Tong, M. Z., Soltesz, E., Krishnaswamy, A., Kapadia, S., Feitell, S., Hanna, M., Joyce, E., Schoenhagen, P., Starling, R. C., Taylor, D. O., & Perez, A. L. (2019). Minimally invasive biventricular mechanical circulatory support with Impella pumps as a bridge to heart transplantation: a first-in-the-world case report. Esc Heart Failure, 6 (3), 552-554. https://doi.org/10.1002/ehf2.12412