Subclavian Impella 5.0 to the rescue in a non-ST elevation myocardial infarction patient requiring unprotected left main rotablation: A case report  

作　　者：Vasileios Panoulas María Monteagudo-Vela Konstantinos Kalogeras Andre Simon 

机构地区：[1]Department of Cardiology,Harefield Hospital,Royal Brompton and Harefield NHS Foundation Trust,London UB96JH,United Kingdom [2]Cardiovascular Sciences,National Heart and Lung Institute,Imperial College,London SW72BU,United Kingdom [3]Department of Cardiothoracic Transplantation and Mechanical Circulatory Support,Harefield Hospital,Royal Brompton and Harefield NHS Foundation Trust,London UB96JH,United Kingdom

出　　处：《World Journal of Cardiology》2020年第4期155-160,共6页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Often in patients with significant three-vessel or left main disease there is coexistent significant peripheral disease rendering them poor candidates for percutaneous left ventricular support during revascularization.Evidence on the management of such cases is limited.CASE SUMMARY We describe a case of such a patient with critical distal left main disease and chronically occluded right coronary artery who presented with chest pain and a non-ST elevation myocardial infarction and had significantly impaired left ventricular function.With the aid of our cardiothoracic surgeons a cut down subclavian Impella 5.0 was inserted and high risk rotablation percutaneous coronary intervention carried out successfully.CONCLUSION This case highlights the need for cross-specialty collaborations in such high-risk cases were alternative access is needed for insertion of large bore mechanical circulatory support devices.

关 键 词：IMPELLA SUBCLAVIAN Rotablation LEFT main PERCUTANEOUS CORONARY intervention Case report 

分 类 号：R542.22[医药卫生—心血管疾病]