Heart failure & cardiomyopathies

Impella device in fulminant myocarditis: Japanese Registry for Percutaneous Ventricular Assist Device (J-PVAD) registry analysis on outcomes and adverse events

Eur Heart J Acute Cardiovasc CarePublished Registry analysis

Authors' conclusion

Impella's use in fulminant myocarditis demonstrates encouraging short-term outcomes, albeit with significant adverse events.

Study context

Population
Patients with fulminant myocarditis treated with Impella, J-PVAD registry, February 2020 to December 2021
Participants
269 patients
Exposure
ECPELLA vs Impella standalone
  • ECPELLAn = 162
  • Impella standalonen = 107
Outcome
30-day mortality
Follow-up
30 days

Main finding

As reported in the abstract

30-day survival
Overall 30-day survival
74.3%

Observational data: associations, not effects.

Further findings

Predictors of adverse events (Cox regression)

Lower eGFR and pre-Impella SBP increased adverse event risk; Swan-Ganz catheterization use reduced it

Safety

Any adverse event
48.7%
Bleeding
32.0%
Deteriorating renal function
8.6%

Original publication

Impella device in fulminant myocarditis: Japanese Registry for Percutaneous Ventricular Assist Device (J-PVAD) registry analysis on outcomes and adverse events. Eur Heart J Acute Cardiovasc Care. Published 4 December 2023. doi:10.1093/ehjacc/zuad149

Composed by AI from the published abstract and checked against it. How Briefs are made →

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