Feasibility and efficacy of the 2.5 L and 3.8 L impella percutaneous left ventricular support device during high-risk, percutaneous coronary intervention in patients with severe aortic stenosis

2014 ◽  
Vol 85 (6) ◽  
pp. 981-989 ◽  
Author(s):  
Jon Spiro ◽  
Vinod Venugopal ◽  
Yogesh Raja ◽  
Peter F. Ludman ◽  
Jonathan N. Townend ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
High Risk ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Percutaneous Coronary ◽  
Support Device ◽  
Ventricular Support

Safety and Feasibility of Elective High-Risk Percutaneous Coronary Intervention Procedures With Left Ventricular Support of the Impella Recover LP 2.5

2006 ◽  
Vol 97 (7) ◽  
pp. 990-992 ◽  
Author(s):  
José P.S. Henriques ◽  
Maurice Remmelink ◽  
Jan Baan ◽  
René J. van der Schaaf ◽  
Marije M. Vis ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
High Risk ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Percutaneous Coronary ◽  
Ventricular Support

scholarly journals CRT-200.40 Impact of Left Ventricular Support Device on Surgically Rejected Patients Undergoing Unprotected Left Main Percutaneous Coronary Intervention

2016 ◽  
Vol 9 (4) ◽  
pp. S15
Author(s):  
Anisha Rastogi ◽  
Meena Narayanan ◽  
Rajan Shah ◽  
Anilkumar Mehra ◽  
David Shavelle ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Support Device ◽  
Ventricular Support

Left ventricular support during complex transradial percutaneous coronary intervention for complete revascularization

2019 ◽  
Vol 67 (4) ◽  
Author(s):  
Annamaria Dachille ◽  
Amelia Focaccio ◽  
Lucio Selvetella ◽  
Giovanni Napolitano ◽  
Carlo Briguori
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Complete Revascularization ◽  
Percutaneous Coronary ◽  
Ventricular Support

scholarly journals Percutaneous Coronary Intervention in Patients With Severe Aortic Stenosis

Circulation ◽  
2012 ◽  
Vol 125 (8) ◽  
pp. 1005-1013 ◽  
Author(s):  
Sachin S. Goel ◽  
Shikhar Agarwal ◽  
E. Murat Tuzcu ◽  
Stephen G. Ellis ◽  
Lars G. Svensson ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Successful extracorporeal membrane oxygenation assisted revascularisation in a high-risk elderly patient refused surgical treatment

2020 ◽  
Vol 26 (4) ◽  
pp. 205-210
Author(s):  
Robertas Samalavičius ◽  
Lina Puodžiukaitė ◽  
Vytautas Abraitis ◽  
Ieva Norkienė ◽  
Nadežda Ščupakova ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
High Risk ◽  
Elderly Patients ◽  
Extracorporeal Membrane Oxygenation ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Uneventful Recovery ◽  
Membrane Oxygenation ◽  
Percutaneous Coronary

Management of high-risk elderly patients requiring revascularisation remains a clinical challenge. We report a case of extracorporeal membrane oxygenation (ECMO) assisted complex percutaneous coronary intervention in a high-risk octogenarian. An 83-yearold female with signs of worsening heart failure was admitted to the emergency department of a tertiary care facility. Transthoracic echocardiography revealed a decreased left ventricular ejection fraction of 20% with severe mitral regurgitation and mild aortic and tricuspid valve insufficiency. Three-vessel disease was found during coronary angiography. Due to the patient’s frailty, a high-risk surgery decision to proceed with ECMO assisted percutaneous coronary intervention was made during a heart team meeting. Following initiation of mechanical support, coronary lesions were treated with three drug-eluting stents. After the procedure, the patient was transferred to the ICU on ECMO support, where she was successfully weaned from the device 9 h later. Her ICU stay was four days. She was successfully discharged from the hospital after uneventful recovery. At one-year’s follow-up, the patient was clinically stable in an overall state of general well-being and with complete participation in routine activities; she had good exercise tolerance and no signs of ischemia. This report highlights the possibility of use of ECMO during PCI in high-risk elderly patients.

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