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Impella trials and high-risk PCI skepticism

March 28, 2026Sanjay Kaul, Abdulla A. Damluji, MD, PhD, Dr Shariq Shamim

Sanjay Kaul, Abdulla Damluji, Dr Shariq Shamim, Dr. Purvi Parwani, and Anu Lala highlight CHIP-BCIS3 and related Impella studies as negative or concerning, citing a neutral win ratio and mortality signals.

CHIP-BCIS3: Another Impella Trial bites the dust
win ratio 0.85 (no benefit signal)
Mortality concern — higher CV death with Impella (HR 1.91)
Higher all cause death in Impella (statistically not significant). WOW.
Impella CP + intentional 30-min PCI delay vs. immediate PCI
Sanjay Kaul
Abdulla A. Damluji, MD, PhD
Dr Shariq Shamim
Dr. Purvi Parwani
NIH
cardiologydevicesevidence

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