From: Single center first year experience and outcomes with Impella 5.5 left ventricular assist device
Characteristic | All Patients | Patients with Impella > 14 days |
---|---|---|
n = 26* | n = 11** | |
Median age (range)—yr | 66 (20–81) | 58 (20–72) |
Sex—no. (%) | ||
Male | 22 (92%) | 9(90%) |
Female | 2 (8%) | 1 (10%) |
Ethnicity—no. (%) | ||
Asian | 3 (13%) | 2 (20%) |
Hispanic | 1 (4%) | 1 (10%) |
Non-hispanic black | 2 (8%) | 1 (10%) |
Non-hispanic white | 18 (75%) | 6 (60%) |
BMI (range)—avg no | 29 (18–43) | 28 (18–36) |
Etiology of Shock- no. (%) | ||
Acute MI | 11 (46%) | 5 (50%) |
HFrEF | 8 (33%) | 5 (50%) |
Cardiotomy | 5 (21%) | 0 |
Functional Status—no. (%) | ||
Bedbound | 18 (69%) | 7 (70%) |
OOB/Walking | 8 (31%) | 3 (30%) |
LVEF—avg % | 21% | 16% |
Comorbidities—no. (%) | ||
Atrial Fibrillation | 1 (4%) | 0 |
CAD (h/o PCI/CABG) | 10 (42%) | 5 (50%) |
CKD | 4 (17%) | 1 (10%) |
COPD | 1 (4%) | 0 |
Diabetes Mellitus | 5 (21%) | 3 (30%) |
Hyperlipidemia | 11 (46%) | 4 (40%) |
Hypertension | 14 (58%) | 6 (60%) |
PVD | 3 (13%) | 0 |
Stroke | 2 (8%) | 1 (10%) |
Tobacco use, current | 4 (17%) | 1 (10%) |
End-organ function—avg (± SD) | ||
Hemoglobin—g/dL | 11.0 (± 2.4) | 10.7 (± 2.5) |
Platelets—u/µL | 200 (± 127) | 220 (± 184) |
Lactate—mmol/L | 4.6 (± 4.0) | 5.0 (± 3.5) |
Creatinine—mg/dL | 2.1 (± 0.9) | 1.7 (± 0.6) |
BUN- mg/dL | 39 (± 24) | 40 (± 25) |
AST/ALT—u/L | 457(± 794) / 352(± 694) | 559(± 1027) / 635(± 1043) |
Sodium | 137 (± 7) | 134 (± 9) |
Hemodynamics—avg (± SD) | ||
RA—mmHg | 12 (± 6) | 12 (± 8) |
PA, systolic—mmHg | 48 (± 13) | 49 (± 16) |
PA, diastolic—mmHg | 23 (± 6) | 23 (± 8) |
PCWP—mmHg | 26 (± 7) | 25 (± 9) |
PAPi | 2.2 (± 0.7) | 4 (± 4) |
PA VO2—% | 54.2 (± 11.9) | 50.9 (± 11.3) |
Hemodynamic support—avg (± SD) | ||
Vasopressors | 2 (± 1) | 2 (± 1) |
Intubated—no. (%) | 15 (58%) | 5 (50%) |
Implant site—no. (%) | ||
Direct | 4 (15%) | 0 |
Left axillary artery | 2 (8%) | 1 (10%) |
Right axillary artery | 20 (77%) | 9 (1%) |