Getinge Ab Class B · OMXSTO:GETI_B
Getinge Ab Class B — Technical Presentation (2015)
9 slides from Getinge Ab Class B's technical presentation, 2015
Slide 1: Case 3 Module 3: Real World Application of Mechanical Circulatory Support
Case 3 Module 3: Real World Application of Mechanical Circulatory Support Divaka Perera MA, MD, FRCP St. Thomas’ Hospital King’s College London, UK
Slide 2: Disclosure and Disclaimer – Indications
Disclosure All presenters have a speaker agreement with Maquet Disclaimer – Indications The content of this presentation represents a medical practioner’s authorized practice of medicine in the exercise of appropriate medical judgment for the best interest of the patient. Refer to Maquet’s Instructi
Slide 3: Case 3: 49 yo male
Case 3: 49 yo male Family history of IHD but previously well Presented to local hospital (no primary PCI service) with several hours of chest pain ECG – ST elevation in leads V1-5 Transfer Delays HR 110 bpm, BP 120/70mmHg Initial SaO2 on room air 80%, Lactate 3.2
Slide 4: Case 3: Diagnostic Angiogram
Case 3: Diagnostic Angiogram
Slide 5: Case 3: IABP and PCI
Case 3: IABP and PCI
Slide 6: Case 3: Post PCI
Case 3: Post PCI
Slide 7: Case 3: 49 yo male
Case 3: 49 yo male BP maintained on IABP support for 24 hours Urine output poor (20-30ml/hour) Rising lactate Levels Supported with Dobutamine infusion Echocardiogram – severe LV systolic dysfunction with antero-apical akinesis, no evidence of VSD
Slide 8: Case 3: Impella 2.5L Device Inserted
Case 3: Impella 2.5L Device Inserted
Slide 9: Case 3: Post Impella Insertion
Case 3: Post Impella Insertion Stability in hemodynamic indices for 24 hours BUT, failure to thrive Increasing inotrope requirement Decreasing urine output Transferred to Transplant Center Surgical Biventricular Assist Successful Heart Transplant ML 0549-10 Rev A