High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe.
JACC Case Rep
; 2(4): 664-667, 2020 Apr.
Article
em En
| MEDLINE
| ID: mdl-34317317
ABSTRACT
We report a case of coronary perforation during high-risk percutaneous coronary intervention with Impella (Abiomed, Danvers, Massachusetts) support that resulted in cessation of pulsatile arterial flow. Maintenance of systemic perfusion due to antecedent placement of Impella 2.5 allowed for successful treatment with pericardiocentesis and covered stent placement, early discharge, and complication-free follow-up. (Level of Difficulty Intermediate.).
CA, coronary angiography; HR-PCI, high-risk percutaneous coronary intervention; LAD, left anterior descending coronary artery; LM, left main coronary artery; LV, left ventricle; MCS, mechanical circulatory support; PCI, percutaneous coronary intervention; cardiac assist devices; coronary angiography; hemodynamics; percutaneous coronary interventions
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1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Idioma:
En
Revista:
JACC Case Rep
Ano de publicação:
2020
Tipo de documento:
Article