First-in-Man Lithoplasty of a LIMA Bypass With ECMO Support in a Last-Remaining Vessel.
Cardiovasc Revasc Med
; 21(11S): 155-157, 2020 11.
Article
em En
| MEDLINE
| ID: mdl-32423793
ABSTRACT
We report the case of a 70-year-old patient with history of chronic heart disease who underwent bypass surgery twice beforehand and was admitted due to non-ST segment elevation myocardial infarction. Angiography showed degeneration of all bypass grafts except the LIMA bypass, which showed significant ostial stenosis with severe calcification. Peri-operative risk was computed to be as high as 12.3% (STS Score). An interventional strategy was chosen the very high-risk procedure was performed safely under the protection afforded by venoarterial ECMO and cardiac surgeons on standby using a coronary intravascular lithoplasty (IVL) balloon. After implantation of a drug eluting stent, the primary angiogram showed a satisfactory result. The patient was discharged without further complications short after the procedure and is closely followed-up.
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MEDLINE
Assunto principal:
Oxigenação por Membrana Extracorpórea
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article