Successful treatment of acute left main coronary artery disease with a drug-coated balloon under left ventricular unloading using Impella: a case report.
Kazuhiro KamadaKensuke JokoNaoya OtakaHidenori MatsusakaKunio MorishigePublished in: European heart journal. Case reports (2024)
A case of acute LMCA disease was successfully treated with a DCB under haemodynamic support using Impella CP. The left ventricular (LV) unloading with Impella was indicated to contribute to stable haemodynamics, even during long inflation with the DCB, and the immediate recovery of LV function. Haemodynamic support using Impella may be effective, especially in cases requiring repeated and longer inflation of balloon catheters accompanied by extensive myocardial ischaemia.
Keyphrases
- left ventricular
- extracorporeal membrane oxygenation
- respiratory failure
- liver failure
- left ventricular assist device
- coronary artery disease
- drug induced
- heart failure
- hypertrophic cardiomyopathy
- aortic stenosis
- acute myocardial infarction
- cardiac resynchronization therapy
- acute respiratory distress syndrome
- aortic dissection
- mitral valve
- left atrial
- percutaneous coronary intervention
- hepatitis b virus
- emergency department
- cardiovascular disease
- ejection fraction
- mechanical ventilation
- acute coronary syndrome
- adverse drug