a decreasing trend in LV end-diastolic volume and LV end-diastolic pressure and also slightly decreasing trend in pulmonary capillary wedge pressure is being observed. 2 , 16–19 Comparably, a small clinical series confirmed these findings in six patients on VA-ECMO who received LV unloading with an adjunctive Impella device. 20 ECpella for left ventricular unloading/venting Several clinical studies have evaluated the role of the Impella ® in unloading/venting in VA-ECMO-treated patients with cardiogenic shock.
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