Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement
The Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the docu...
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Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2015/464135 |
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author | Shaun Cardozo Tasneem Ahmed Kevin Belgrave |
author_facet | Shaun Cardozo Tasneem Ahmed Kevin Belgrave |
author_sort | Shaun Cardozo |
collection | DOAJ |
description | The Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the documented complications. However, cases of severe hemolytic anemia are rare in the literature. Proven imaging modalities like ultrasound need to be used to guide proper placement. We present a case of device induced severe hemolysis due to Impella insertion and the need to use ultrasound guidance to avoid such an unnecessary complication. |
format | Article |
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institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-ad61ad766e8349f8b07a317aa9c8689a2025-02-03T05:45:26ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/464135464135Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct PlacementShaun Cardozo0Tasneem Ahmed1Kevin Belgrave2Division of Cardiology, Department of Internal Medicine, Detroit Medical Center, Harper University Hospital, Wayne State University, Detroit, MI 48201, USADivision of Cardiology, Department of Internal Medicine, Detroit Medical Center, Harper University Hospital, Wayne State University, Detroit, MI 48201, USADivision of Cardiology, Department of Internal Medicine, Detroit Medical Center, Harper University Hospital, Wayne State University, Detroit, MI 48201, USAThe Impella LP 2.5 (Abiomed, Danvers, MA) has been a tool of use for high risk coronary procedures and for cardiogenic shock. As with any invasive or intracardiac device, improper placement can result in disastrous complications. Hemolytic anemia secondary to Impella implantation is one of the documented complications. However, cases of severe hemolytic anemia are rare in the literature. Proven imaging modalities like ultrasound need to be used to guide proper placement. We present a case of device induced severe hemolysis due to Impella insertion and the need to use ultrasound guidance to avoid such an unnecessary complication.http://dx.doi.org/10.1155/2015/464135 |
spellingShingle | Shaun Cardozo Tasneem Ahmed Kevin Belgrave Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement Case Reports in Cardiology |
title | Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement |
title_full | Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement |
title_fullStr | Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement |
title_full_unstemmed | Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement |
title_short | Impella Induced Massive Hemolysis: Reemphasizing Echocardiographic Guidance for Correct Placement |
title_sort | impella induced massive hemolysis reemphasizing echocardiographic guidance for correct placement |
url | http://dx.doi.org/10.1155/2015/464135 |
work_keys_str_mv | AT shauncardozo impellainducedmassivehemolysisreemphasizingechocardiographicguidanceforcorrectplacement AT tasneemahmed impellainducedmassivehemolysisreemphasizingechocardiographicguidanceforcorrectplacement AT kevinbelgrave impellainducedmassivehemolysisreemphasizingechocardiographicguidanceforcorrectplacement |