{
    "abstract": "The Impella percutaneous mechanical circulatory support device provides improved support in treating patients with high-risk percutaneous coronary interventions (HR-PCI) or in cardiogenic shock. IMPELLA-PL is a multicenter registry developed to share clinical data and experiences using Impella technology in Poland. The retrospective analysis conducted in this study aims to fill the knowledge gap of Impella performance in patients with multivessel coronary artery disease (CAD) and depressed left ventricular ejection fraction (EF) (\u226430%) treated with HR-PCI.\nRetrospective data were analyzed from patients presenting with multivessel coronary disease and low EF treated with Impella CP collected from 20 Polish interventional cardiology centers registered with IMPELLA-PL to assess the safety and efficacy in short- and long-term clinical outcomes.\nA total of 115 patients with low EF received Impella CP support during HR-PCI. The success rate of Impella supported HR-PCI was high (99.1%) with an average hospital stay of 15.6 \u00b1 10.7 days. The right femoral artery was the most common access (55.7%) followed by the left femoral artery (37.4%). The in-hospital mortality rate was 6.1%, and the all-cause mortality rate at one year was 13.9%.\nHigh-risk PCI with Impella CP periprocedural support was safe and effective in patients with low EF (\u226430%). The all-cause mortality rate (6.1% and 13.9%, respectively, for in-hospital and at 12-months) was comparable with other Impella registries.",
    "authors": [
        {
            "affiliation": "1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland. wojciechjan.skorupski@gmail.com.",
            "firstname": "Wojciech J",
            "initials": "WJ",
            "lastname": "Skorupski"
        },
        {
            "affiliation": "Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Arkadiusz",
            "initials": "A",
            "lastname": "Pietrasik"
        },
        {
            "affiliation": "Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Aleksandra",
            "initials": "A",
            "lastname": "G\u0105secka"
        },
        {
            "affiliation": "Department of Cardiology, University Hospital in Opole, Opole, Poland.\nFaculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland.",
            "firstname": "Jerzy",
            "initials": "J",
            "lastname": "Sacha"
        },
        {
            "affiliation": "National Medical Institute of the Internal Affairs ad Administration Ministry, Warsaw, Poland.",
            "firstname": "Tomasz",
            "initials": "T",
            "lastname": "Paw\u0142owski"
        },
        {
            "affiliation": "2nd Department of Cardiology, Jan Biziel University Hospital No. 2, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.",
            "firstname": "Gabriel",
            "initials": "G",
            "lastname": "Bielawski"
        },
        {
            "affiliation": "2nd Department of Cardiology, Jan Biziel University Hospital No. 2, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.",
            "firstname": "Wojciech",
            "initials": "W",
            "lastname": "Balak"
        },
        {
            "affiliation": "Department of Cardiology and Internal Diseases, University Hospital No. 1, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.",
            "firstname": "Adam",
            "initials": "A",
            "lastname": "Sukiennik"
        },
        {
            "affiliation": "Department of Cardiology and Internal Diseases, University Hospital No. 1, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.",
            "firstname": "Paulina",
            "initials": "P",
            "lastname": "Burzy\u0144ska"
        },
        {
            "affiliation": "Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.",
            "firstname": "Adam",
            "initials": "A",
            "lastname": "Witkowski"
        },
        {
            "affiliation": "Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland.",
            "firstname": "Mateusz",
            "initials": "M",
            "lastname": "Warnie\u0142\u0142o"
        },
        {
            "affiliation": "Department of Cardiology, University Hospital, Krakow, Poland.",
            "firstname": "\u0141ukasz",
            "initials": "\u0141",
            "lastname": "Rzeszutko"
        },
        {
            "affiliation": "Department of Cardiology, University Hospital, Krakow, Poland.",
            "firstname": "Stanis\u0142aw",
            "initials": "S",
            "lastname": "Bartu\u015b"
        },
        {
            "affiliation": "Department of Cardiology, University Hospital, Krakow, Poland.",
            "firstname": "Artur",
            "initials": "A",
            "lastname": "Pawlik"
        },
        {
            "affiliation": "National Medical Institute of the Internal Affairs ad Administration Ministry, Warsaw, Poland.",
            "firstname": "Mateusz",
            "initials": "M",
            "lastname": "Kaczy\u0144ski"
        },
        {
            "affiliation": "National Medical Institute of the Internal Affairs ad Administration Ministry, Warsaw, Poland.",
            "firstname": "Robert",
            "initials": "R",
            "lastname": "Gil"
        },
        {
            "affiliation": "Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.",
            "firstname": "Wiktor",
            "initials": "W",
            "lastname": "Kuliczkowski"
        },
        {
            "affiliation": "Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.",
            "firstname": "Krzysztof",
            "initials": "K",
            "lastname": "Reczuch"
        },
        {
            "affiliation": "Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.",
            "firstname": "Marcin",
            "initials": "M",
            "lastname": "Protasiewicz"
        },
        {
            "affiliation": "Jagiellonian University Medical College, Institute of Cardiology, Department of Interventional Cardiology, John Paul II Hospital, Krakow, Poland.",
            "firstname": "Jacek",
            "initials": "J",
            "lastname": "Legutko"
        },
        {
            "affiliation": "Jagiellonian University Medical College, Institute of Cardiology, Department of Interventional Cardiology, John Paul II Hospital, Krakow, Poland.",
            "firstname": "Pawe\u0142",
            "initials": "P",
            "lastname": "Kleczy\u0144ski"
        },
        {
            "affiliation": "College of Medical Sciences, University of Rzeszow, Rzeszow, Poland.",
            "firstname": "Piotr",
            "initials": "P",
            "lastname": "Wa\u0144czura"
        },
        {
            "affiliation": "College of Medical Sciences, University of Rzeszow, Rzeszow, Poland.",
            "firstname": "Sebastian",
            "initials": "S",
            "lastname": "Gurba"
        },
        {
            "affiliation": "Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Anna",
            "initials": "A",
            "lastname": "Kochanowska"
        },
        {
            "affiliation": "Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Micha\u0142",
            "initials": "M",
            "lastname": "\u0141omiak"
        },
        {
            "affiliation": "Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Maciej",
            "initials": "M",
            "lastname": "Krajsman"
        },
        {
            "affiliation": "1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.",
            "firstname": "W\u0142odzimierz",
            "initials": "W",
            "lastname": "Skorupski"
        },
        {
            "affiliation": "Independent Public Specialist Western Hospital John Paul II in Grodzisk Mazowiecki, Poland.",
            "firstname": "Maciej",
            "initials": "M",
            "lastname": "Zar\u0119bi\u0144ski"
        },
        {
            "affiliation": "Independent Public Specialist Western Hospital John Paul II in Grodzisk Mazowiecki, Poland.",
            "firstname": "Piotr",
            "initials": "P",
            "lastname": "Pawluczuk"
        },
        {
            "affiliation": "Department of Cardiology, The Copper Health Centre (MCZ), Lubin, Poland.",
            "firstname": "Szymon",
            "initials": "S",
            "lastname": "W\u0142odarczak"
        },
        {
            "affiliation": "Department of Cardiology, The Copper Health Centre (MCZ), Lubin, Poland.",
            "firstname": "Adrian",
            "initials": "A",
            "lastname": "W\u0142odarczak"
        },
        {
            "affiliation": "Center for Heart Diseases, Military Hospital in Wroclaw, Wroclaw, Poland.",
            "firstname": "Krzysztof",
            "initials": "K",
            "lastname": "\u015aciborski"
        },
        {
            "affiliation": "Center for Heart Diseases, Military Hospital in Wroclaw, Wroclaw, Poland.",
            "firstname": "Artur",
            "initials": "A",
            "lastname": "Telichowski"
        },
        {
            "affiliation": "University of Zielona Gora, Collegium Medicum, Department of Interventional Cardiology and Cardiac Surgery, Zielona Gora, Poland.\nDepartment of Cardiology, Nowa S\u00f3l Multidisciplinary Hospital, Nowa Sol, Poland.",
            "firstname": "Mieszko",
            "initials": "M",
            "lastname": "Pluci\u0144ski"
        },
        {
            "affiliation": "University of Zielona Gora, Collegium Medicum, Department of Interventional Cardiology and Cardiac Surgery, Zielona Gora, Poland.\nDepartment of Cardiology, Nowa S\u00f3l Multidisciplinary Hospital, Nowa Sol, Poland.",
            "firstname": "Jaros\u0142aw",
            "initials": "J",
            "lastname": "Hiczkiewicz"
        },
        {
            "affiliation": "3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.",
            "firstname": "Karolina",
            "initials": "K",
            "lastname": "Konsek"
        },
        {
            "affiliation": "3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.",
            "firstname": "Micha\u0142",
            "initials": "M",
            "lastname": "Hawranek"
        },
        {
            "affiliation": "3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.",
            "firstname": "Mariusz",
            "initials": "M",
            "lastname": "G\u0105sior"
        },
        {
            "affiliation": "1st Department of Cardiology, Bieganski Hospital, Medical University, Lodz, Poland.",
            "firstname": "Jan",
            "initials": "J",
            "lastname": "Peruga"
        },
        {
            "affiliation": "1st Department of Cardiology, Bieganski Hospital, Medical University, Lodz, Poland.",
            "firstname": "Marcin",
            "initials": "M",
            "lastname": "Fiutowski"
        },
        {
            "affiliation": "Department of Cardiology and Cardiac Surgery, 10th Military Hospital and Polyclinic, Bydgoszcz, Poland.",
            "firstname": "Robert",
            "initials": "R",
            "lastname": "Romanek"
        },
        {
            "affiliation": "1st Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.",
            "firstname": "Piotr",
            "initials": "P",
            "lastname": "Kasprzyk"
        },
        {
            "affiliation": "1st Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.",
            "firstname": "Dariusz",
            "initials": "D",
            "lastname": "Cie\u0107wierz"
        },
        {
            "affiliation": "Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.",
            "firstname": "Andrzej",
            "initials": "A",
            "lastname": "Ocha\u0142a"
        },
        {
            "affiliation": "Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.",
            "firstname": "Wojciech",
            "initials": "W",
            "lastname": "Wojakowski"
        },
        {
            "affiliation": "Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Janusz",
            "initials": "J",
            "lastname": "Kochman"
        },
        {
            "affiliation": "1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.",
            "firstname": "Maciej",
            "initials": "M",
            "lastname": "Lesiak"
        },
        {
            "affiliation": "1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.",
            "firstname": "Marek",
            "initials": "M",
            "lastname": "Grygier"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.5603/cj.103336",
    "journal": "Cardiology journal",
    "keywords": [
        "Impella",
        "high risk-percutaneous coronary intervention",
        "mechanical circulatory support"
    ],
    "methods": null,
    "publication_date": "2025-04-14",
    "pubmed_id": "40223716",
    "results": "A total of 115 patients with low EF received Impella CP support during HR-PCI. The success rate of Impella supported HR-PCI was high (99.1%) with an average hospital stay of 15.6 \u00b1 10.7 days. The right femoral artery was the most common access (55.7%) followed by the left femoral artery (37.4%). The in-hospital mortality rate was 6.1%, and the all-cause mortality rate at one year was 13.9%.",
    "title": "Short- and long-term outcomes of Impella-protected, high-risk, elective PCI in patients with multivessel coronary disease and low ejection fraction - Polish Impella Registry.",
    "xml": "<Element 'PubmedArticle' at 0x788504d44950>"
}