[The Impella ® cardiac assist device for complex, high-risk procedures]
Marchand DK, Bussières S, Quigley N
Record ID 32018015913
French
Original Title:
Le dispositif d’assistance cardiaque Impella pour les procédures complexes à haut risque
Authors' objectives:
The issue raised by this report is whether the use of the Impella ® device for cardiogenic shock or high-risk
percutaneous coronary intervention is justified, given the uncertain clinical benefits and risks of complications. This decision is critical to ensuring the rational allocation of resources and the safe and targeted integration of this technology at the Institute.
Authors' results and conclusions:
The conclusion of this report means that, based on the available evidence, the use of the Impella ® device could
be considered in well-defined situations, subject to strict protocols to ensure patient safety and rational resource allocation. However, this evidence does not support the routine use of the Impella ® device due to uncertain clinical efficacy on a larger scale and a high risk of complications.
Authors' methods:
A rapid review was conducted to assess the clinical effectiveness and safety of the Impella ® device compared to ECMO, intra-aortic balloon pump, or no mechanical support in adults requiring hemodynamic assistance.
Clinical practice guidelines were also analyzed to inform decision-making for the targeted and safe use of this
technology.
Details
Project Status:
Completed
URL for project:
https://www.iucpq.ca/a-propos-de-nous/excellence/evaluation-des-technologies-et-modes-dintervention-en-sante/
Year Published:
2025
URL for published report:
https://www.iucpq.ca/a-propos-de-nous/excellence/evaluation-des-technologies-et-modes-dintervention-en-sante/le-dispositif-dassistance-cardiaque-impella-pour-les-procedures-complexes-a-haut-risque/
English language abstract:
An English language summary is available
Publication Type:
Full HTA
Country:
Canada
Province:
Quebec
MeSH Terms
- Shock, Cardiogenic
- Percutaneous Coronary Intervention
- Heart-Assist Devices
- Extracorporeal Membrane Oxygenation
- Intra-Aortic Balloon Pumping
Contact
Organisation Name:
Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval (IUCPQ-ULaval)
Contact Address:
2725, chemin Sainte-Foy Québec QC G1V 4G5
Contact Name:
uetmis.iucpq@ssss.gouv.qc.ca
Contact Email:
uetmis.iucpq@ssss.gouv.qc.ca
Copyright:
Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.