Management of Patients with Refractory Cardiogenic Shock and Cardiointestinal Syndrome with Impella 5.5 as Bridge to Decision: Case Series

Authors

Ismael A. Salas De Armas, University of Texas Health Science Center at HoustonFollow
Bindu Akkanti, University of Texas Health Science Center at HoustonFollow
Amanda Bergeron, Center for Advanced Heart Failure, Memorial Hermann HosptialFollow
Anju Bhardwaj, University of Texas Health Science Center at HoustonFollow
Kha Dinh, University of Texas Health Science Center at HoustonFollow
Ali Shirafkan, University of Texas Health Science Center at HoustonFollow
Jayeshkumar A. Patel, University of Texas Health Science Center at HoustonFollow
Manish K. Patel, University of Texas Health Science Center at HoustonFollow
Carlos R. Manrique Neira, University of Texas Health Science Center at HoustonFollow
Igor D. Gregoric, University of Texas Health Science Center at HoustonFollow
Biswajit Kar, University of Texas Health Science Center at HoustonFollow
Mehmet H. Akay, University of Texas Health Science Center at HoustonFollow

Abstract

Patients with advanced heart failure require multi-system management as a majority succumb to end-organ dysfunction, including gastrointestinal sequelae. Temporizing measures, such as early mechanical circulatory support, can assist in the recovery of patients with acute cardiogenic shock. The temporary support can improve patient characteristics to enable future definitive heart failure therapies such as durable left ventricular assist devices and orthotopic heart transplantation. We present two cases of cardiogenic shock that were successfully bridged with an Impella 5.5 (Abiomed). The management enabled the patients to recover from reversible cardiointestinal syndrome and undergo successful definitive therapies.

Recommended Citation

Salas De Armas, Ismael A.; Akkanti, Bindu; Bergeron, Amanda; Bhardwaj, Anju; Dinh, Kha; Shirafkan, Ali; Patel, Jayeshkumar A.; Patel, Manish K.; Manrique Neira, Carlos R.; Gregoric, Igor D.; Kar, Biswajit; and Akay, Mehmet H. (2023) "Management of Patients with Refractory Cardiogenic Shock and Cardiointestinal Syndrome with Impella 5.5 as Bridge to Decision: Case Series," Journal of Shock and Hemodynamics: Vol. 1(2) :e20231216 DOI: https://doi.org/10.57905/josh/e20231216

Available at: https://digitalcommons.library.tmc.edu/josh/vol1/iss2/16