High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe

We report a case of coronary perforation during high-risk percutaneous coronary intervention with Impella (Abiomed, Danvers, Massachusetts) support that resulted in cessation of pulsatile arterial flow. Maintenance of systemic perfusion due to antecedent placement of Impella 2.5 allowed for successf...

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Autores principales: Peigh, Graham, Jivan, Arif, Kosova, Ethan, Opyt, Aubrey, Schimmel, Daniel, Ricciardi, Mark J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298647/
https://www.ncbi.nlm.nih.gov/pubmed/34317317
http://dx.doi.org/10.1016/j.jaccas.2019.12.029
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author Peigh, Graham
Jivan, Arif
Kosova, Ethan
Opyt, Aubrey
Schimmel, Daniel
Ricciardi, Mark J.
author_facet Peigh, Graham
Jivan, Arif
Kosova, Ethan
Opyt, Aubrey
Schimmel, Daniel
Ricciardi, Mark J.
author_sort Peigh, Graham
collection PubMed
description We report a case of coronary perforation during high-risk percutaneous coronary intervention with Impella (Abiomed, Danvers, Massachusetts) support that resulted in cessation of pulsatile arterial flow. Maintenance of systemic perfusion due to antecedent placement of Impella 2.5 allowed for successful treatment with pericardiocentesis and covered stent placement, early discharge, and complication-free follow-up. (Level of Difficulty: Intermediate.)
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spelling pubmed-82986472021-07-26 High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe Peigh, Graham Jivan, Arif Kosova, Ethan Opyt, Aubrey Schimmel, Daniel Ricciardi, Mark J. JACC Case Rep Case Report We report a case of coronary perforation during high-risk percutaneous coronary intervention with Impella (Abiomed, Danvers, Massachusetts) support that resulted in cessation of pulsatile arterial flow. Maintenance of systemic perfusion due to antecedent placement of Impella 2.5 allowed for successful treatment with pericardiocentesis and covered stent placement, early discharge, and complication-free follow-up. (Level of Difficulty: Intermediate.) Elsevier 2020-03-11 /pmc/articles/PMC8298647/ /pubmed/34317317 http://dx.doi.org/10.1016/j.jaccas.2019.12.029 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Peigh, Graham
Jivan, Arif
Kosova, Ethan
Opyt, Aubrey
Schimmel, Daniel
Ricciardi, Mark J.
High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title_full High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title_fullStr High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title_full_unstemmed High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title_short High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment: When Impella Support Prevents Catastrophe
title_sort high risk coronary atherectomy, perforation, and successful percutaneous treatment: when impella support prevents catastrophe
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298647/
https://www.ncbi.nlm.nih.gov/pubmed/34317317
http://dx.doi.org/10.1016/j.jaccas.2019.12.029
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