Impella-Assisted Intracoronary Lithotripsy of Severely Calcified Left Main Coronary Artery Bifurcation for NSTEMI With Cardiogenic Shock

被引：3
|
作者：
Agrawal, Yashwant [1 ,2 ]
Zoltowska, Dominika [3 ]
Nazroo, Jean-Yves R. [4 ]
Halabi, Abdul R. [1 ]
机构：
[1] St Joseph Mercy Oakland Hosp, Intervent Cardiol, Pontiac, MI 48342 USA
[2] Ascens Hlth, Intervent Cardiol, Kalamazoo, MI 49048 USA
[3] Univ Florida, Cardiol, Coll Med, Jacksonville, FL USA
[4] St Loseph Mercy Oakland Hosp, Internal Med, Pontiac, MI USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 04期
关键词：
impella; nstemi; acs; cardiogenic shock; cad; pci; case report; shockwave intravascular lithotripsy;
D O I：
10.7759/cureus.14772
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
High calcification of coronary artery plaque is a frequent cause of suboptimal stent expansion, which can result in stent thrombosis and restenosis. Shockwave intravascular lithotripsy (S-IVL) represents a new frontier in the treatment of highly calcified coronary lesions. It can be an excellent alternative to intracoronary atherectomy in extremely high-risk lesions. We present a case of a 57-year-old man with known severe coronary artery disease (CAD) who presented with non-ST segment elevation myocardial infarction (NSTEMI), cardiogenic shock and was successfully treated with impella-assisted shockwave-intravascular lithotripsy permitting successful percutaneous intervention of a high-risk left main coronary artery (LMCA) bifurcation in-stent restenosis.
引用
收藏
页数：7
相关论文
共 50 条
  • [1] Impella-assisted intracoronary lithotripsy of heavily calcified left main lesion in a patient with severely impaired ejection fraction and the last remaining patent vessel
    Bujak, Marta M.
    Gasior, Pawel
    Wojakowski, Wojciech
    CARDIOLOGY JOURNAL, 2023, 30 (03) : 493 - 494
  • [2] INTRAVASCULAR LITHOTRIPSY FOR THE TREATMENT OF SEVERELY CALCIFIED LEFT MAIN CORONARY STENOSIS
    Pavani, M.
    Giacobbe, F.
    Zanda, G.
    Sagazio, E.
    Vadala, P.
    Galiffa, V.
    Taglialatela, V.
    De Filippo, O.
    Annibali, G.
    Abdirashid, M.
    Bernardi, A.
    Benenati, S.
    Arena, M.
    Ferrari, F.
    Cordone, S.
    Piedimonte, G.
    Rolfo, C.
    Cerrato, E.
    Varbella, F.
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2023, 25
  • [3] Successful management of cardiogenic shock with intracoronary nitroglycerin in a patient with left main coronary artery lesion
    Aykan, Ahmet Cagri
    Gokdeniz, Tayyar
    Boyaci, Faruk
    Gul, Ilker
    Celik, Sukru
    HEART LUNG AND CIRCULATION, 2012, 21 (12): : 819 - 820
  • [4] Feasibility and Safety of Intravascular Lithotripsy in Severely Calcified Left Main Coronary Stenoses
    Salazar, Carlos
    Gonzalo, Nieves
    Aksoy, Adem
    Abellas-Sequeiros, Rosa
    Tovar, Maria
    Blachutzik, Florian
    Tirado-Conte, Gabriela
    Nef, Holger
    Gonzalez-Juanatey, Carlos
    Van Mieghem, Nicolas
    Latib, Azeem
    Ocaranza-Sanchez, Raymundo
    Werner, Nikos
    Escaned, Javier
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 74 (13) : B642 - B642
  • [5] Intravascular lithotripsy in calcified left main coronary artery: Time to dare?
    Verdoia, Monica
    Rognoni, Andrea
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2025, 423
  • [6] Safety and Effectiveness of Coronary Intravascular Lithotripsy for Percutaneous Coronary Intervention of Severely Calcified Left Main Bifurcation Disease: A " Real World" Registry
    Gupta, Ankush
    Seth, Ashok
    Bahl, Vinay
    Mullasari, Ajit Sankardas
    Rao, Ravinder
    Chadha, Davinder Singh
    Mathew, Rony
    Chandra, Praveen
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2024, 84 (18) : B206 - B206
  • [7] Multicenter registry of Impella-assisted high-risk percutaneous coronary interventions and cardiogenic shock in Poland (IMPELLA-PL)
    Pietrasik, Arkadiusz
    Gasecka, Aleksandra
    Pawlowski, Tomasz
    Sacha, Jerzy
    Grygier, Marek
    Bielawski, Gabriel
    Balak, Wojciech
    Sukiennik, Adam
    Burzynska, Paulina
    Witkowski, Adam
    Warniello, Mateusz
    Rzeszutko, Lukasz
    Bartus, Stanislaw
    Pawlik, Artur
    Kaczynski, Mateusz
    Gil, Robert
    Kuliczkowski, Wiktor
    Reczuch, Krzysztof
    Protasiewicz, Marcin
    Kleczynski, Pawel
    Wanczura, Piotr
    Gurba, Sebastian
    Kochanowska, Anna
    Lomiak, Michal
    Cacko, Andrzej
    Skorupski, Wlodzimierz
    Zarebinski, Maciej
    Pawluczuk, Piotr
    Wlodarczak, Szymon
    Wlodarczak, Adrian
    Sciborski, Krzysztof
    Telichowski, Artur
    Plucinski, Mieszko
    Hiczkiewicz, Jaroslaw
    Konsek, Karolina
    Hawranek, Michal
    Gasior, Mariusz
    Peruga, Jan
    Fiutowski, Marcin
    Romanek, Robert
    Kasprzyk, Piotr
    Ciecwierz, Dariusz
    Ochala, Andrzej
    Wojakowski, Wojciech
    Legutko, Jacek
    Kochman, Janusz
    KARDIOLOGIA POLSKA, 2023, 81 (11) : 1103 - 1112
  • [8] Feasibility, Safety, and Efficacy of Intravascular Lithotripsy in Severely Calcified Left Main Coronary Stenosis
    Salazar, Carlos H.
    Gonzalo, Nieves
    Aksoy, Adem
    Tovar Forero, Maria Natalia
    Nef, Holger
    Van Mieghem, Nicolas M.
    Latib, Azeem
    Ocaranza Sanchez, Raymundo
    Werner, Nikos
    Escaned, Javier
    JACC-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (14) : 1727 - 1729
  • [9] THE NOVEL USE OF BIVENTRICULAR IMPELLA SUPPORT FOR CARDIOGENIC SHOCK DUE TO A LEFT MAIN SPONTANEOUS CORONARY ARTERY DISSECTION
    Stout, Kara
    Gajanan, Ganesh
    Ibe, Michael
    Pandya, Jitendra
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (18) : 2369 - 2369
  • [10] Complex Angioplasty of Bifurcation of Left Main Coronary Artery in Patient with Anterior Myocardial Infarction and Cardiogenic Shock
    Goldberg, Alexander
    Nordkin, Irena
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 67 (16) : S90 - S91
12345