{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T08:12:10Z","timestamp":1779351130052,"version":"3.51.4"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,7,4]],"date-time":"2019-07-04T00:00:00Z","timestamp":1562198400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"University Hospitals Piti\u00e9 Salp\u00eatri\u00e8re - Charles Foix"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Postcardiotomy cardiogenic shock (PCCS) is associated with high mortality rates of 50\u201380%. Although veno-arterial extracorporeal membrane oxygenation has been used as mechanical circulatory support in patients with PCCS, it is associated with a high rate of complications and poor quality of life. The Impella 5.0 and Impella Left Direct (LD) (Impella 5.0\/LD) are minimally invasive left ventricular assist devices that provide effective haemodynamic support resulting in left ventricular unloading and systemic perfusion. Our goal was to describe the outcome of patients with PCCS supported with the Impella 5.0\/LD at La Piti\u00e9-Salp\u00eatri\u00e8re Hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We retrospectively reviewed consecutive patients supported with the Impella 5.0\/LD for PCCS between December 2010 and June 2015. Survival outcome and in-hospital complications were assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 29 patients (63\u2009\u00b1\u200914\u2009years, 17% women) with PCCS were supported with the Impella 5.0\/LD. At baseline, 69% experienced chronic heart failure, 66% had dilated cardiomyopathy and 57% had valvular disease. The mean EuroSCORE II was 22\u2009\u00b1\u200917 and the ejection fraction was 28\u2009\u00b1\u200911%. Most of the patients underwent isolated valve surgery (45%) or isolated coronary artery bypass grafting (38%). The mean duration of Impella support was 9\u2009\u00b1\u20097\u2009days. Weaning from the Impella was successful in 72.4%, and 58.6% survived to discharge. Recovery of native heart function was observed in 100% of discharged patients. Survival to 30\u2009days and to 1\u2009year from Impella implant was 58.6% and 51.7%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The Impella 5.0 and the Impella LD represent an excellent treatment option for critically ill patients with PCCS and are associated with favourable survival outcome and native heart recovery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezz179","type":"journal-article","created":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T07:08:06Z","timestamp":1558163286000},"page":"183-188","source":"Crossref","is-referenced-by-count":39,"title":["Mechanical circulatory support with the Impella 5.0 and the Impella Left Direct pumps for postcardiotomy cardiogenic shock at La Piti\u00e9-Salp\u00eatri\u00e8re Hospital"],"prefix":"10.1093","volume":"57","author":[{"given":"Charles-Henri","family":"David","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Quessard","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciro","family":"Mastroianni","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3426-5720","authenticated-orcid":false,"given":"Guillaume","family":"Hekimian","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Amour","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Leprince","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4308-506X","authenticated-orcid":false,"given":"Guillaume","family":"Lebreton","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institute of Cardiology, H\u00f4pital de la Piti\u00e9-Salp\u00eatri\u00e8re, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Pierre et Marie Curie-Paris 6, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"2019121303572143900_ezz179-B1","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1016\/j.jtcvs.2018.05.061","article-title":"Venoarterial extracorporeal membrane oxygenation for postcardiotomy shock: risk factors for mortality","volume":"156","author":"Fux","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019121303572143900_ezz179-B2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.jtcvs.2012.01.067","article-title":"The RECOVER I: a multicenter prospective study of Impella 5.0\/LD for postcardiotomy circulatory support","volume":"145","author":"Griffith","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019121303572143900_ezz179-B3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s13019-017-0618-0","article-title":"Extra-corporeal membrane oxygenation for refractory 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Piti\u00e9-Salp\u00eatri\u00e8re","volume":"6","author":"Mastroianni","year":"2017","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"2019121303572143900_ezz179-B9","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1053\/j.jvca.2017.08.048","article-title":"Meta-analysis of the outcome after postcardiotomy venoarterial extracorporeal membrane oxygenation in adult patients","volume":"32","author":"Biancari","year":"2018","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2019121303572143900_ezz179-B10","first-page":"53","article-title":"In-hospital outcome of post-cardiotomy extracorporeal life support in adult patients: the 2007-2017 Maastricht experience","volume":"19","author":"Raffa","year":"2017","journal-title":"Crit Care Resusc"},{"key":"2019121303572143900_ezz179-B11","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/IMI.0000000000000535","article-title":"Outcomes of Impella 5.0 in cardiogenic shock: systematic review and 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