Acute Myocardial Infarction
Conditions
Keywords
Arterial Occlusive Disease, Heart Diseases, Myocardial Ischemia, Vascular Disease, Arteriosclerosis, Ischemia
Brief summary
This is a randomized trial investigating the use of the IMPELLA RECOVER LP 2.5 compared to Intra-aortic balloon pump (IABP) in patients with Acute Myocardial Infarction.
Interventions
Insertion of the LP 2.5 IMPELLA circulatory support system that can be placed across the aortic valve using a single femoral site. The device pumps blood from the left ventricle into the ascending aorta at 2.5L/min.
The Intra-Aortic Balloon Pump consists of a cylindrical balloon that sits in the aorta and counterpulsates.
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed Consent * Subject presenting with STEMI undergoing primary PCI * Patient presents with at least 1 of the following: * Unstable blood pressure * Tachycardia and tissue hypoperfusion * The need for intravenous pressor or inotropic support * Patient presents with STEMI: * CK-MB\>2x normal
Exclusion criteria
* Unwitnessed cardiac arrest * Abnormalities of the aorta * Recent stroke or TIA * Mural thrombus in the left ventricle
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite rate of major adverse events within 30 days or hospital discharge. | 30 days or discharge | Composite rate of major adverse events within 30 days or hospital discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maximum CPO increase from baseline. | Treatment | Maximum CPO increase from baseline. |
Countries
United States