Favorable Effects of Impella on Takotsubo Syndrome Complicated with Cardiogenic Shock Case Series with Successful Resuscitation

Reportedly, approximately 9.9%-12.4% of patients with Takotsubo syndrome (TTS) are complicated with cardiogenic shock (CS) and its prognosis remains poor even with the support of conventional mechanical circulatory assist devices including intra-aortic balloon pumping and venoarterial extracorporeal...

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Bibliographic Details
Published inInternational Heart Journal Vol. 62; no. 6; pp. 1430 - 1435
Main Authors Nishikawa, Ryo, Nagano, Nobutaka, Kokubu, Nobuaki, Hashimoto, Kanae, Nakata, Jun, Kishiue, Naohiro, Takahashi, Ryo, Otomo, Shunsaku, Tsuchihashi, Kazufumi, Yano, Toshiyuki
Format Journal Article
LanguageEnglish
Published Tokyo International Heart Journal Association 29.11.2021
Japan Science and Technology Agency
Subjects
Aorta
Apical ballooning
Case studies
Heart
Intra-aortic balloon pumping
Left ventricular outflow obstruction
Mechanical unloading
NT-proBNP
Oxygenation
Unloading
Venoarterial extracorporeal membrane oxygenation
Ventricle
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Summary:Reportedly, approximately 9.9%-12.4% of patients with Takotsubo syndrome (TTS) are complicated with cardiogenic shock (CS) and its prognosis remains poor even with the support of conventional mechanical circulatory assist devices including intra-aortic balloon pumping and venoarterial extracorporeal membrane oxygenation. Impella, a novel percutaneous left ventricular assist device, provides strong circulatory support together with the unloading of the left ventricle, and it is theoretically a promising mechanical circulatory assist device for TTS. In this case study, we report four consecutive patients with TTS complicated with CS who were successfully resuscitated using the Impella support.
ISSN:1349-2365
1349-3299
DOI:10.1536/ihj.21-299