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Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old
Author(s) -
Goldstein James A.,
Hanson Ivan
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29165
Subject(s) - impella , medicine , hemodynamics , inotrope , shock (circulatory) , cardiology , cardiogenic shock , septic shock , sepsis , myocardial infarction
Key Points Rapid restoration of hemodynamics is key to successful shock management. The failing right ventricular (RV) is resilient and recovers if hemodynamics are supported while the underlying insulting cause is alleviated. Inotropic/vasopressor drugs constitute a “double‐edged sword” that augment hemodynamics, but exacerbate myocardial and multiorgan injury. Impella RP mechanical support for RV shock stabilizes hemodynamics and is associated with favorable clinical outcomes.