Right Heart Failure

Patient Management

Importance of Identifying Right Ventricular Failure (RVF) Early

  • RVF can occur after acute myocardial infarction (AMI), after durable LVAD implantation, post-cardiotomy or post-transplant
  • RVF increases the risk of cardiogenic shock, high-grade atrioventricular-conduction block and in-hospital mortality1
  • RVF can lead to longer ICU stays, higher short-term mortality and worsening end-organ dysfunction

Patient Management Topics

 

Changing the Purge Cassette and Fluid Bag

See how to change the purge cassette, purge fluid bag and more.

 

Heparin-Free Purge: Bicarbonate Based Purge Solution

A bicarbonate-based purge solution for Impella® may be a viable alternative to heparin-based purge solution in patients who are heparin-intolerant and when heparin is contraindicated.

Right Heart Failure/Right Ventricular Dysfunction and the Impella RP Flex™ with SmartAssist™ Heart Pump

Right Heart Failure/Right Ventricular Dysfunction and the Impella RP Flex™ with SmartAssist™ Heart Pump

This FAQ discusses the causes, incidence, and diagnosis of right heart failure and how the Impella RP with SmartAssist heart pump can support the right side of the heart.

Handling Impella RP Flex™ with SmartAssist™ Suction Alarms

Suction is most often caused by inadequate preload or malposition.

As with all other Impella® heart pumps, if a suction alarm occurs:

  1. Decrease P-Level as needed to resolve suction.
  2. Check Impella RP Flex with SmartAssist position.

  3. Check filling and volume status.

 

Please refer to the Instructions for Use manual for all suction alarm information.

Additional Resources

References

  1. Mehta, S.R., et al. (2001). J Am Coll Cardiol, 37(1), 37-43.

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