Sky is the limit for Impella-assisted percutaneous coronary intervention: Four technologies, three vessels, two bifurcations and one chronic total occlusion
Aleksandra Gąsecka, Norbert Czyżak, Marcin Lampart, A. Pietrasik
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引用次数: 0
Abstract
A 73-year-old woman after percutaneous coronary intervention (PCI) of the left main (LM), left anterior descending (LAD) artery and diagonal branch with implantation of 5 drug-eluting stents (2020) was admitted due to heart failure exacerbation. Echocardiography showed left ventricular ejection fraction (LVEF) of 13%, severe secondary mitral regurgitation (MR) and moderate tricuspid regurgitation (TR). Coronary angiography demonstrated multivessel disease (SYNTAX score 47.5; Fig. 1A, B) with in-stent restenosis of the LM and LAD and chronic total occlusion of the circum - flex (Cx). Considering the high risk of mortality (EuroSCORE II 22.1
1例73岁女性经皮左主干(LM)、左前降支(LAD)及斜支介入治疗(PCI)并植入5个药物洗脱支架(2020)后因心力衰竭加重入院。超声心动图显示左室射血分数(LVEF) 13%,严重继发性二尖瓣反流(MR)和中度三尖瓣反流(TR)。冠状动脉造影显示多支血管病变(SYNTAX评分47.5;图1A, B)与支架内LM和LAD再狭窄和环屈曲慢性完全闭塞(Cx)。考虑到高死亡率(EuroSCORE II 22.1)