Impella RP Support and Catheter-Directed Thrombolysis to Treat Right Ventricular Failure Caused by Pulmonary Embolism in 2 Patients.
Right ventricular failure secondary to pulmonary embolism is associated with morbidity and death. The Impella RP System has often been used for percutaneous mechanical circulatory support in patients with right ventricular failure from other causes, including myocardial infarction, cardiac surgery, and left ventricular assist device implantation. We report 2 cases of massive pulmonary embolism in which combined Impella RP use and ultrasound-assisted catheter-directed thrombolysis effectively treated shock caused by right ventricular failure and contributed to successful outcomes. To our knowledge, only one other patient with this indication had been treated with the Impella RP device.
['Shokr|Mohamed|M|', 'Rashed|Ahmed|A|', 'Mostafa|Ashraf|A|', 'Mohamad|Tamam|T|', 'Schreiber|Theodore|T|', 'Elder|Mahir|M|', 'Kaki|Amir|A|']
D000368:Aged D006328:Cardiac Catheterization D000072226:Computed Tomography Angiography D005260:Female D005343:Fibrinolytic Agents D005471:Fluoroscopy D006333:Heart Failure D006353:Heart-Assist Devices D006801:Humans D008297:Male D008875:Middle Aged D011655:Pulmonary Embolism D015912:Thrombolytic Therapy D016278:Ventricular Function, Right
Catheterization, peripheral/instrumentation combined modality therapy equipment design heart-assist devices pulmonary embolism/complications/therapy recovery of function thrombolytic therapy treatment outcome ultrasonic therapy/instrumentation ventricular dysfunction, right/physiopathology/therapy