Dec 18 2009
Results from the Europella registry, evaluating the safety and
feasibility of the Abiomed,
Inc. (NASDAQ: ABMD) Impella
2.5 circulatory assist device in high-risk percutaneous coronary
intervention (PCI) procedures have been published in the December 15
issue of the Journal of the American College of Cardiology (JACC). The
paper, “Supported High-Risk Percutaneous Coronary Intervention Using the
Impella 2.5 device: The Europella Registry” concludes, “this large
multicenter registry supports the safety, feasibility and potential
usefulness of hemodynamic support with Impella 2.5 in high-risk PCI.”
“As high-risk PCI increasingly becomes the alternative for patients
turned down for surgery, the Europella registry demonstrates that
Impella 2.5 proves a safe and effective method of support for these
high-risk procedures,” said Jose PS Henriques, M.D., Ph.D., Academic
Medical Center, University of Amsterdam. “These results are very
encouraging in indicating Impella’s ability to maintain hemodynamic
support by safely unloading the left ventricle and decreasing oxygen
demand in high-risk PCI patients.”
The Europella registry is the largest multicenter study ever reported
for high risk PCI conducted with Impella, including 144 consecutive
high-risk PCI patients with complex or high risk coronary lesions, such
as last remaining vessel or left main lesions, from ten European
centers, and reported the following:
Patient Population
-
Patients were older, 62% older (Mean age, 71.8 years)
-
54% had an LV ejection fraction of 30% or less
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The prevalence of comorbidities was high and the Mean European System
for Cardiac Operative Risk Evaluation score was 8.2± 3.4
-
43% of the patients were refused for CABG
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Left main coronary artery (LMCA) PCI, last patent vessel PCI, and
complex multivessel disease (MVD) comprised 52%, 17%, and 82% of the
cases, respectively
Device Outcomes
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Successful passage through the femoral artery and implantation of the
Impella 2.5 into the left ventricle was achieved in all 144 patients
-
The study showed a low rate of major adverse cardiac and
cerebrovascular, 0% device malfunction and low rate of complications
confirming the safety, ease of use and potential effectiveness of the
technology for high risk PCI. The primary feasibility endpoint
included successful deployment, operation and explantation of the
Impella 2.5.
“We are pleased with the positive results from the Europella registry.
These data reinforce the Impella 2.5 clinical papers that are continuing
to be released, such as USpella, which was announced at TCT 2009,” said
Michael R. Minogue, Chairman, President and Chief Executive Officer of
Abiomed.
http://www.abiomed.com/