Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system.
Τίτλος | Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Anastasiadis, K., Hadjimiltiades S., & Antonitsis P. |
Journal | Catheter Cardiovasc Interv |
Volume | 80 |
Issue | 5 |
Pagination | 845-9 |
Date Published | 2012 Nov 01 |
ISSN | 1522-726X |
Λέξεις κλειδιά | Angioplasty, Balloon, Coronary, Cardiopulmonary Bypass, Coronary Angiography, Coronary Disease, Heart-Assist Devices, Hemodynamics, Humans, Prosthesis Design, Treatment Outcome |
Abstract | Minimal extracorporeal circulation (MECC) represents a contemporary system which integrates several advances in cardiopulmonary bypass technology in a single circuit. We challenged the efficacy of the MECC system to support the circulation in elective high-risk percutaneous coronary intervention (PCI). A 78-year-old patient with complex coronary disease who would have been otherwise rejected for interventional therapy underwent PCI with rotablation on MECC support. The MECC system provided hemodynamic support at a flow of 1.8 L min(-1) m(-2) while perfusion pressure was kept at a minimum of 70 mm Hg. This allowed for successful angioplasty of the left main stem and a chronically occluded right coronary artery, which otherwise produced significant hemodynamic compromise. This case illustrates that mechanical circulatory support with the MECC system could provide a stable environment and a "safety net" for carrying out complex percutaneous coronary intervention in high-risk patients. |
DOI | 10.1002/ccd.24293 |
Alternate Journal | Catheter Cardiovasc Interv |
PubMed ID | 22511509 |