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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Main Authors: Shaun Cardozo, Tasneem Ahmed, Kevin Belgrave
Format: Article
Language:English
Published: Wiley 2015-01-01
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.
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institution Kabale University
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language English
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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
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AT tasneemahmed impellainducedmassivehemolysisreemphasizingechocardiographicguidanceforcorrectplacement
AT kevinbelgrave impellainducedmassivehemolysisreemphasizingechocardiographicguidanceforcorrectplacement