Mechanical circulatory support and intravascular lithotripsy in high-risk patients undergoing percutaneous coronary intervention and transcatheter aortic valve replacement: a case series.
Alfredo MarcheseGiuseppe TarantiniAntonio TitoVito MargariFabrizio RestaIlir DhojnikuDomenico PaparellaGiuseppe SpezialePublished in: European heart journal. Case reports (2021)
These cases provide multiple insights into the strategy of using IVL + VA-ECMO, alone or with IABP, to treat heavily calcified LM coronary lesions in patients with severely compromised LVF undergoing TAVR. IVL safely and effectively overcame shortcomings related to other plaque ablation techniques, and VA-ECMO proved to be effective when facing the combination of high-risk coronary and valve interventions.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- extracorporeal membrane oxygenation
- coronary artery disease
- aortic valve
- percutaneous coronary intervention
- acute respiratory distress syndrome
- patients undergoing
- coronary artery
- ejection fraction
- st segment elevation myocardial infarction
- respiratory failure
- acute myocardial infarction
- st elevation myocardial infarction
- left ventricular
- coronary artery bypass grafting
- acute coronary syndrome
- physical activity
- antiplatelet therapy
- mechanical ventilation
- mitral valve
- intensive care unit