High-risk catheter ablation of refractory atrial fibrillation using Impella CP in a patient with cardiogenic shock.
Kofi OseiTuncay TaskesenTroy HounshellJason MeyersPublished in: Pacing and clinical electrophysiology : PACE (2020)
There are no recommendations regarding PVI for AF/RVR on mechanical circulatory support (MCS). MCS assisted PVI/PWI may be the only resort to restore hemodynamic stability in cases where a pacemaker is not desirable. PVI/PWI is a lengthy procedure; the use of the Impella support for PVI/PWI in cardiogenic shock allows adequate time for exit block testing and PWI. The operator can do thorough mapping and ablation, knowing that the patient is receiving adjustable support based on hemodynamic demands. We had a good outcome; nevertheless, the potential pitfalls are unknown.
Keyphrases
- catheter ablation
- atrial fibrillation
- left atrial
- left atrial appendage
- oral anticoagulants
- case report
- extracorporeal membrane oxygenation
- direct oral anticoagulants
- heart failure
- percutaneous coronary intervention
- minimally invasive
- mass spectrometry
- left ventricular
- mitral valve
- vena cava
- left ventricular assist device
- acute coronary syndrome