Intravascular Lithotripsy and Microaxial Percutaneous Left Ventricular Assist Device for Complex and High-Risk Percutaneous Coronary Intervention.


Journal

The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280

Informations de publication

Date de publication:
07 2019
Historique:
received: 26 02 2019
revised: 19 04 2019
accepted: 19 04 2019
entrez: 12 7 2019
pubmed: 12 7 2019
medline: 24 3 2020
Statut: ppublish

Résumé

Intravascular lithotripsy (IVL) is emerging as a novel, effective, easy-to-perform, and safe therapy for plaque modification in calcified lesions. So far, data on its use and outcomes mostly derives from stable patients with moderate angiographic complexity. Here we report on a case in which IVL was performed in the context of a high-risk intervention involving calcified lesions of the left main bifurcation and proximal left anterior descending, which required mechanical support with a percutaneous left ventricular assist device. This guaranteed hemodynamic stability and optimal lesion preparation, which allowed achieving a good angiographic result and clinical outcome.

Identifiants

pubmed: 31292097
pii: S0828-282X(19)30290-9
doi: 10.1016/j.cjca.2019.04.017
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

940.e5-940.e7

Informations de copyright

Copyright © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Lorenzo Azzalini (L)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy. Electronic address: azzalini.lorenzo@hsr.it.

Marco B Ancona (MB)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

Barbara Bellini (B)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

Alaide Chieffo (A)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

Mauro Carlino (M)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

Matteo Montorfano (M)

Interventional Cardiology Division, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

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Classifications MeSH