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Patient operated with IMPELLA device at AIG Hospitals

The liver transplant patient with heart issues underwent the procedure using the device which replicates the pumping function of the heart, providing blood flow of 3.5 litres/min

A 70-year old liver transplant patient recently diagnosed with heart failure and severely decreased heart pumping was operated upon using the IMPELLA device. The device claimed to be the ‘world’s smallest heart pump’ was inserted into the heart through the groin artery under local anaesthesia. It helped to stabilise the heart function and ensure blood flow to critical organs during the procedure. The device replicates the pumping function of the heart, providing blood flow of 3.5 litres/min. The overall procedure lasted for three hours.

A multidisciplinary team was formed consisting of cardiac surgeon, anesthesiologist, radiologist, liver transplant expert, hepatologist, nephrologist and lead by interventional Cardiologists, Dr Anuj Kapadia, Dr Rajeev Menon, Dr Swaroop Bharadi and Dr Uday Kiran Anne.

“The biggest challenge for such high-risk patients undergoing cardiac intervention is maintaining stable pressure and perfusion to the brain, kidneys, and other critical organs. Simply put to keep the blood flow stable while the procedure is being done,” said Dr Anuj Kapadia, Sr Consultant – Interventional Cardiology, AIG Hospitals. 

“Two aspects made this complex plan a success, first the multidisciplinary heart team approach and second the IMPELLA device, which made the entire procedure seamless,” said Dr Uday Kiran Anne, Consultant – Interventional Cardiologist, AIG Hospitals.

The device was safely removed from the table at the end of the procedure itself. The patient was shifted to the ICU and was subsequently discharged after two days of hospitalisation.

“We are glad that the patient is doing well and hopefully in coming years these treatment options will become more accessible for all such patients. The Institute of Cardiac Sciences and Research at the AIG Hospitals continues to explore newer treatment modalities to help patients even with such extreme disease condition,” said Dr D Nageshwar Reddy, Chairman, AIG Hospitals.

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