100:." The Impella 2.5, used in protected PCI, "received FDA approval for elective and urgent high-risk PCI procedures in March 2015, following its 510(k) clearance in 2008" and as a percutaneous hemodynamic support device, it was deemed "safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment." The PROTECT II Study, published in
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115:, and organizations such as the Society of Cardiovascular Angiography and Interventions, have featured lectures including "The New Era of Protected PCI: Treating Elective and High-Risk PCI Patients with Impella 2.5", and "Expanding your Patient Practice with Protected PCI: Treating the Most Complex Patients" in order to educate physicians on using protected percutaneous coronary intervention, respectively.
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procedures in March 2015, following its 510(k) clearance in 2008, making it the first percutaneous hemodynamic support device to get the regulatory nod as both safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment.
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290:
Einstein's
Protected PCI program has operated from a position of strength, but expansion this spring broadened the patient mix to include elective and urgent high-risk PCI patients. At the center of the program is the Impella 2.5. The device received FDA approval for elective and urgent high-risk PCI
211:
Hozawa, Koji; Hitoshi
Nakamura; Kazutoshi Yamamoto; Mizuki Hirose; Takanori Miyauchi; Akihiko Kanazawa; Sunao Nakamura; Osamu Hirashima; Nobuyuki Makishima; Shotaro Nakamura; Jun Koyama; Noriki Kutsukata; Makoto Anzai; Akira Honma (2004). "Successful Embolization Protection Using GuardWire System tor
87:
heart pump helps maintain a stable heart function by pumping blood for the heart. This gives a weak heart muscle an opportunity to rest and reduces the heartās workload, preventing the heart from being overstressed by the procedure as coronary artery blockages are repaired". Deborah Moore, the
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Distal embolism is one of the major complications during percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). The Guard Wire system (GS) consists of an occlusion balloon which is inflated distally allowing protected PCI has recently become
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found that the "Impella 2.5 provided superior hemodynamic support in comparison with IABP, with maximal decrease in cardiac power output from baseline of ā0.04Ā±0.24 W in comparison with ā0.14Ā±0.27 W for IABP
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Remondino, Andrea; Christian Seiler; Pascal Meier; Roby D. Rakhit; Kerstin
Wustmann; Rainer Zbinden; Stephan Zbinden; Stephan Windecker; Mario Togni; Peter Wenaweser; Bernhard Meier; Franz R. Eberli (2011).
305:"A Prospective, Randomized Clinical Trial of Hemodynamic Support With Impella 2.5 Versus Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Percutaneous Coronary Intervention: The PROTECT II Study"
277:
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O'Neill, W. W.; N. S. Kleiman; J. Moses; J. P. S. Henriques; S. Dixon; J. Massaro; I. Palacios; B. Maini; S. Mulukutla; V. Dzavik; J. Popma; P. S. Douglas; M. Ohman (2012).
384:"Expanding your Patient Practice with Protected PCI: Treating the Most Complex Patients". The Society for Cardiovascular Angiography and Interventions. 6 May 2015.
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This is so because the group undergoing protected primary PCI presented unaltered CFI during the second as compared to the first coronary occlusion.
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240:"Florida Hospital Zephyrhills Delivers New Game-Changing Technology for Advanced Heart Failure Patients with Coronary Artery Disease".
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352:"The New Era of Protected PCI: Treating Elective and High-Risk PCI Patients with Impella 2.5". Cath Lab Digest. 11 September 2015.
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177:"Collateral function changes during primary percutaneous coronary intervention in acute myocardial infarction"
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Understanding the
Hemodynamics of Protected PCI - Martin B. Leon, MD and Dan Burkhoff, MD, PhD
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During a protected percutaneous coronary intervention (Protected PCI) procedure, "the
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278:"Building a Protected PCI Program: The Heart Team Approach"
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Building a
Protected PCI Program: The Heart Team Approach
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276:Pearson, Dave; Mary Tierney (22 September 2015).
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88:Director of Interventional Cardiology at
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63:, is a heart procedure that involves a
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872:Valve-sparing aortic root replacement
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606:production of septal defect in heart
67:that is used to treat patients with
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703:transposition of the great vessels
628:creation of septal defect in heart
432:Columbia University Medical Center
14:
1003:Cardiac resynchronization therapy
322:10.1161/CIRCULATIONAHA.112.098194
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1010:Left atrial appendage occlusion
212:Acute Myocardial lntarction".
1:
1132:Radionuclide ventriculography
1117:Myocardial perfusion imaging
111:=0.001)." Hospitals such as
90:Florida Hospital Zephyrhills
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724:for univentricular defect
1251:Interventional cardiology
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1064:Implantable loop recorder
708:Arterial switch operation
498:Interventional cardiology
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280:. Cardiovascular Business
141:Intra-aortic balloon pump
65:ventricular assist device
43:
23:
1143:Coronary catheterization
633:BlalockāHanlon procedure
594:Mitral valve replacement
577:Aortic valve replacement
1139:Cardiac catheterization
1081:Electrophysiology study
981:Radiofrequency ablation
946:Alcohol septal ablation
441:Einstein Medical Center
181:Cardiovascular Medicine
156:Acute cardiac unloading
1185:Impedance cardiography
807:Coronary artery bypass
194:10.4414/cvm.2011.01579
113:Detroit Medical Center
69:cardiovascular disease
1216:Transcutaneous pacing
1020:Heart transplantation
941:Ventricular reduction
757:BlalockāTaussig shunt
71:, including advanced
34:delineating the left
1190:Ballistocardiography
747:systemic circulation
244:. 30 September 2015.
36:coronary circulation
1069:Cardiac stress test
1047:Electrocardiography
986:Pacemaker insertion
733:Kawashima procedure
697:compound procedures
572:Aortic valve repair
545:Mitral valve repair
215:Circulation Journal
146:Seldinger technique
1122:Cardiovascular MRI
1052:Vectorcardiography
907:Pericardial window
902:Pericardiocentesis
843:Drug-eluting stent
672:Rastelli procedure
621:Balloon septostomy
32:coronary angiogram
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1095:Angiocardiography
1041:Electrophysiology
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971:Catheter ablation
954:Conduction system
879:LeCompte maneuver
867:Bentall procedure
728:Norwood procedure
718:Senning procedure
713:Mustard procedure
616:Atrial septostomy
567:Valve replacement
397:Missing or empty
365:Missing or empty
315:(14): 1717ā1727.
257:Missing or empty
59:, abbreviated as
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817:Off-pump CAB
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535:Valve repair
525:Heart valves
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1153:Cardiac PET
896:Pericardium
860:Atherectomy
798:Angioplasty
540:Valvulotomy
309:Circulation
103:Circulation
98:angioplasty
85:Impella 2.5
1245:Categories
1148:Cardiac CT
1015:Cardiotomy
920:Myocardium
688:Sano shunt
478:procedures
476:Tests and
399:|url=
367:|url=
284:13 October
259:|url=
225:available.
162:References
528:and septa
331:0009-7322
79:Procedure
1232:Category
965:minimaze
961:Cox maze
390:cite web
358:cite web
339:22935569
250:cite web
242:Fox News
119:See also
517:Surgery
423:Abiomed
151:Impella
1204:Pacing
812:MIDCAB
803:Bypass
753:shunt
647:atrium
560:mitral
555:aortic
337:
329:
94:stents
1161:sound
1033:Tests
991:S-ICD
888:Other
822:TECAB
667:aorta
482:heart
222:(1).
45:[
963:and
701:for
403:help
371:help
335:PMID
327:ISSN
286:2015
263:help
96:and
1110:TEE
1105:TTE
997:ICD
792:CHD
764:SVC
749:to
681:to
665:to
649:to
439:by
430:by
421:by
317:doi
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189:doi
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