Mechanical circulatory support during high-risk percutaneous coronary intervention in a young male patient

Advances in Interventional Cardiology

关键词: a 58-year-old man;    with a history of myocardial infarction;    hypercholesterolemia;    smoking;    arterial hypertension;    chronic obstructive pulmonary disease;    paroxysmal atrial fibrillation;    and stroke;    was transferred from another hospital to our department to undergo high-risk percutaneous coronary intervention (pci). previously performed coronary angiography revealed a multi-vessel disease with significant stenosis of the left main (lm) and left ascending coronary artery (lad);    as well as occlusions of the right coronary artery and circumflex artery (figure 1 a). due to severely depressed left ventricular (lv) function (ejection fraction of 25%) and the need for complex pci of the last remaining vessel;    after the discussion with the heart team;    he was scheduled for pci with the support of a percutaneous left ventricular assist device (plvad) – so-called ‘protected pci’ [1].;   

DOI  :  10.5114/aic.2020.99274

来源: DOAJ

【 授权许可】

Unknown