The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Reply to the letter to the editor

Reply to the letter to the editor “Impella device use in high-risk PCI”

EuroIntervention 2019;15:732-732. DOI: 10.4244/EIJ-D-19-00279R

1. Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA

We appreciate Chhabra and colleagues’ correspondence1 regarding our recent report on the adverse events associated with the Impella® (Abiomed, Danvers, MA, USA) devices as identified in the Manufacturer and User Facility Device Experience (MAUDE) database2. We agree that the data to support the routine use of mechanical circulatory support (MCS) devices in the setting of high-risk percutaneous coronary intervention (PCI) are limited. As highlighted by the authors, lessons learned from the randomised pivotal BCIS-1 trial brought the intra-aortic balloon pump (IABP) train to a grinding halt1. While the benefits and efficacy of the Impella in the PROTECT ...

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