Evidence map›Paper›PMID 38783580›Full record

ReviewESC heart failure2024

The intelligent Impella: Future perspectives of artificial intelligence in the setting of Impella support.

Filippo Consolo, Jacopo D'Andria Ursoleo, Marina Pieri, Pasquale Nardelli, Lorenzo Cianfanelli, Vittorio Pazzanese, Silvia Ajello, Anna Mara Scandroglio

Abstract readReview
In one paragraph

Review in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Filippo ConsoloUniversità Vita Salute San Raffaele, Milan, Italy.
Jacopo D'Andria UrsoleoDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marina PieriUniversità Vita Salute San Raffaele, Milan, Italy.ORCID 0000-0002-4101-800X
Pasquale NardelliDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Lorenzo CianfanelliDepartment of Cardiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Vittorio PazzaneseDepartment of Cardiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Silvia AjelloDepartment of Cardiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Anna Mara ScandroglioDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsArtificial intelligence (AI) has emerged as a potential useful tool to support clinical treatment of heart failure, including the setting of mechanical circulatory support (MCS). Modern Impella pumps are equipped with advanced technology (SmartAssist), enabling real-time acquisition and display of data related to both pump performance and the patient's haemodynamic status. These data emerge as an 'ideal' source for data-driven AI applications to predict the clinical course of an ongoing therapeutic protocol. Yet, no evidence of effective application of AI tools in the setting of Impella support is available. On this background, we aimed at identifying possible future applications of AI-based tools in the setting of temporary MCS with an Impella device.

methodsWe explored the state of research and development at the intersection of AI and Impella support and derived future potential applications of AI in routine Impella clinical management.

resultsWe identified different areas where the future implementation of AI tools may contribute to addressing important clinical challenges in the setting of Impella support, including (i) early identification of the best suited pathway of care according to patients' conditions at presentation and intention to treat, (ii) prediction of therapy outcomes according to different possible therapeutic actions, (iii) optimization of device implantation procedures and evaluation of proper pump position over the whole course of support and (iv) prevention and/or rationale management of haemocompatibility-related adverse events. For each of those areas, we discuss the potential advantages, challenges and implications of harnessing AI-driven insights in the setting of MCS with an Impella device.

conclusionsTemporary MCS with an Impella device has great potential to benefit from the integration of AI-based tools. Such tools may indeed translate into groundbreaking innovation supporting clinical decision-making and therapy regulation, in particular in complex scenarios such as the multidevice MCS strategy.

Indexed as

Artificial IntelligenceHeart-Assist DevicesHeart FailureForecastingHemodynamicsHumansartificial intelligencecardiogenic shockImpellamachine learningtemporary mechanical circulatory support

Identifiers

PMID38783580
PMCPMC11424309

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.