[Mechanical cardiac-assist devices in XXXX ].

@entity1 @entity583 @entity1455 @entity2224
UNASSIGNED: A 49-year-old @entity1 was admitted for an anterior @entity583 ( @entity583 ). At hospital arrival, she presented with @entity1455 . An immediate coronary angiogram showed an occluded ostial left anterior descending artery. During percutaneous coronary intervention (PCI), @entity2224 occurred requiring multiple electrical counter-shocks. The coronary artery was opened during cardiopulmonary resuscitation and two drug-eluting stents were implanted. At the end of the procedure, an Impella  CP(  ) mechanical cardiac-assist device was inserted. Rapid and marked improvement in the hemodynamic status was noted in the following days. The Impella  CP(  ) was withdrawn after five days and the @entity1 was discharged two weeks later. Despite limited data, mechanical cardiac assistance is recommended in @entity1455 . Several devices are currently available; the choice of the system is based on the clinical presentation and the experience of each center. The Impella  CP(  ) is a microaxial pump which is inserted percutaneously and delivers up to 3.5L/min of continuous flow. In @entity1455 due to @entity583 , this device allows temporary support while awaiting left ventricular recovery after primary PCI.
