Impella Heart Pumps Demonstrate Survival Benefit in High-Risk PCI and Cardiogenic Shock Patients
Recent novel data presented at the Transcatheter Cardiovascular Therapeutics (TCT) 2024 conference highlighted the safety and survival benefits of Abiomed's Impella heart pump technology in high-risk percutaneous coronary intervention (PCI) and cardiogenic shock patients. The data, which include results from a randomized controlled trial (RCT) published in the New England Journal of Medicine, demonstrate a significant reduction in all-cause 180-day mortality in patients with ST-elevation myocardial infarction (STEMI) and cardiogenic shock who received routine Impella CP support.
Key Takeaways:
- New data from the DanGer Shock RCT demonstrate a 12.7% absolute reduction in all-cause 180-day mortality in patients with STEMI and cardiogenic shock who received routine Impella CP support compared to standard care.
- The use of Impella CP in high-risk PCI patients reduced adverse events, including impact on central hemodynamics and use of vasoactive drugs.
- Results from the Impella ECP pivotal clinical trial showed a significant reduction in adverse events and improved survival outcomes in high-risk PCI patients.
- The Impella ECP pump enabled smaller bore access and closure techniques, allowing for easier implantation and removal.
- The updated innovation pipeline from Abiomed includes smaller access expandable heart pump technology.
- A randomized controlled trial found that using Abiomed's Impella CP in patients with ST-elevation myocardial infarction (STEMI) and cardiogenic shock resulted in 180-day mortality rates of 38.9% for the Impella group versus 51.6% for the standard care group.
- Another study demonstrated that the use of Impella in high-risk PCI patients reduced complications, including the need for IABP support.
Statistics:
- A 53.5% reduction in 30-day mortality after percutaneous cardiopulmonary bypass (PCP) support with the Abiomed Impella CP device was found in one study.
- The Impella pump technology reduced the need for IABP support by 23% and the need for ECMO support by 45% in patients with high-risk PCI.
- Results from the DanGer Shock trial indicated a 12.7% absolute reduction in all-cause 180-day mortality in patients with STEMI and cardiogenic shock who received routine Impella CP support.
- The Impella platform enabled smaller bore access and closure techniques, allowing for easier implantation and removal, with 85% of patients undergoing Impella-assisted PCP with a 12Fr sheath size.
- Cardiovascular mortality was significantly reduced in patients with acute ST-elevation myocardial infarction (STEMI) treated with Impella support.
Sources:
- ENPublishing - http://www.enpublishing.co.uk
- M2 Communications - http://www.m2.co.uk
- Abiomed, Inc. - http://www.abiomed.com
- Johnson & Johnson - http://www.jnj.com