Impella RP: A Promising Intervention in Acute Right Ventricular Failure Caused by Massive Pulmonary Embolism

Ahmed Taha; Assad Mohammedzein; John Kimbugwe; Kade Carthel; David Brabham

doi:10.1016/j.jaccas.2019.09.009

Impella RP: A Promising Intervention in Acute Right Ventricular Failure Caused by Massive Pulmonary Embolism

JACC Case Rep. 2019 Nov 6;1(4):622-625. doi: 10.1016/j.jaccas.2019.09.009. eCollection 2019 Dec.

Authors

Ahmed Taha¹, Assad Mohammedzein², John Kimbugwe², Kade Carthel³, David Brabham²

Affiliations

¹ Department of Internal Medicine, Deaconess Hospital, Evansville, Indiana.
² Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas.
³ Department of Cardiovascular Medicine, Northwest Texas Healthcare System, Amarillo, Texas.

Abstract

Due to the scarcity of data, Impella RP is not approved for acute right ventricular failure caused by massive pulmonary embolism. We describe here the successful use of Impella RP in acute right ventricular failure caused by massive pulmonary embolism to highlight its promising outcome in such an indication. (Level of Difficulty: Advanced.).

Keywords: CTPA, computed tomography pulmonary angiography; EndoWave Infusion Catheter System; Impella RP; LV, left ventricular; PE, pulmonary embolism; RV, right ventricular; UCDT, ultrasound-assisted catheter-directed thrombolysis; cardiogenic shock; mechanical circulatory support; pulmonary embolism; ultrasound-assisted catheter-directed thrombolysis.

Publication types

Case Reports