A new iteration for the single-access large-bore technique during Impella supported complex and high-risk coronary intervention: a case report.

ABSTRACT:

Background

Complex and high-risk coronary intervention (CHIP-PCI) and PCI in cardiogenic shock complicating acute coronary syndrome (ACS) are increasingly performed under mechanical circulatory support-so-called protected PCI. Among the available options, Impella Cardiac Power (CP) heart pump (Abiomed) is percutaneously inserted over the femoral artery and typically requires a second arterial access to perform PCI, which further enhances the risk of vascular and bleeding complications. The single-access technique allows Impella CP placement and PCI performance through the same vascular access. When a 7 Fr system is desirable, only a long and entirely hydrophilic coated sheath has been previously used, which is not available in Europe.

Case summary

A 85-year-old patient admit

SUBMITTER: Araco M 

PROVIDER: S-EPMC8669554 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature