Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?

Complex high-risk indicated patients (CHIP) with a limited vascular access constitute a real challenge for percutaneous coronary interventions (PCI), particularly if they require mechanical circulatory support devices. A 73-year-old man with recent non-ST segment elevation myocardial infraction, dep...

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Autores principales:	Jerzy Sacha, Krzysztof Krawczyk, Maciej Gawor, Joanna Płonka, Marek Gierlotka
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/3813528634d14730ba12905eb58a8f49
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spelling	oai:doaj.org-article:3813528634d14730ba12905eb58a8f492021-12-02T19:19:14ZBalloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?1734-93381897-429510.5114/aic.2021.104783https://doaj.org/article/3813528634d14730ba12905eb58a8f492021-03-01T00:00:00Zhttps://www.termedia.pl/Balloon-aortic-valvuloplasty-Impella-insertion-r-nand-complex-coronary-intervention-is-this-all-feasible-fully-percutaneously-via-upper-limb-access-,35,43652,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295Complex high-risk indicated patients (CHIP) with a limited vascular access constitute a real challenge for percutaneous coronary interventions (PCI), particularly if they require mechanical circulatory support devices. A 73-year-old man with recent non-ST segment elevation myocardial infraction, depressed left ventricular function (ejection fraction, 40%), aortic stenosis (max/mean gradient, 50/32 mm Hg; aortic valve area and its index, 1.0 cm2 and 0.5 cm2/m2) and numerous comorbidities (including recently diagnosed lung cancer in the initial phase) was scheduled by the heart team for balloon aortic valvuloplasty (BAV) and Impella-supported complex PCI of the left main (LM) and the left anterior descending artery (LAD) (Figure 1 A) – the dominant right coronary artery was chronically occluded without the viability of the corresponding myocardium. Due to the abdominal aortic aneurysm with intraluminal thrombus, the procedure could only be performed via upper limb access, and the following interventional images demonstrate how to do it fully percutaneously without general anesthesia.Jerzy SachaKrzysztof KrawczykMaciej GaworJoanna PłonkaMarek GierlotkaTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 1, Pp 126-128 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Jerzy Sacha Krzysztof Krawczyk Maciej Gawor Joanna Płonka Marek Gierlotka Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
description	Complex high-risk indicated patients (CHIP) with a limited vascular access constitute a real challenge for percutaneous coronary interventions (PCI), particularly if they require mechanical circulatory support devices. A 73-year-old man with recent non-ST segment elevation myocardial infraction, depressed left ventricular function (ejection fraction, 40%), aortic stenosis (max/mean gradient, 50/32 mm Hg; aortic valve area and its index, 1.0 cm2 and 0.5 cm2/m2) and numerous comorbidities (including recently diagnosed lung cancer in the initial phase) was scheduled by the heart team for balloon aortic valvuloplasty (BAV) and Impella-supported complex PCI of the left main (LM) and the left anterior descending artery (LAD) (Figure 1 A) – the dominant right coronary artery was chronically occluded without the viability of the corresponding myocardium. Due to the abdominal aortic aneurysm with intraluminal thrombus, the procedure could only be performed via upper limb access, and the following interventional images demonstrate how to do it fully percutaneously without general anesthesia.
format	article
author	Jerzy Sacha Krzysztof Krawczyk Maciej Gawor Joanna Płonka Marek Gierlotka
author_facet	Jerzy Sacha Krzysztof Krawczyk Maciej Gawor Joanna Płonka Marek Gierlotka
author_sort	Jerzy Sacha
title	Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
title_short	Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
title_full	Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
title_fullStr	Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
title_full_unstemmed	Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
title_sort	balloon aortic valvuloplasty, impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/3813528634d14730ba12905eb58a8f49
work_keys_str_mv	AT jerzysacha balloonaorticvalvuloplastyimpellainsertionandcomplexcoronaryinterventionisthisallfeasiblefullypercutaneouslyviaupperlimbaccess AT krzysztofkrawczyk balloonaorticvalvuloplastyimpellainsertionandcomplexcoronaryinterventionisthisallfeasiblefullypercutaneouslyviaupperlimbaccess AT maciejgawor balloonaorticvalvuloplastyimpellainsertionandcomplexcoronaryinterventionisthisallfeasiblefullypercutaneouslyviaupperlimbaccess AT joannapłonka balloonaorticvalvuloplastyimpellainsertionandcomplexcoronaryinterventionisthisallfeasiblefullypercutaneouslyviaupperlimbaccess AT marekgierlotka balloonaorticvalvuloplastyimpellainsertionandcomplexcoronaryinterventionisthisallfeasiblefullypercutaneouslyviaupperlimbaccess
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Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?

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