title: Transradial unprotected left main coronary stenting supported by percutaneous Impella Recover LP 2.5 assist device.
abstract: Percutaneous coronary intervention (PCI) has been increasingly applied to patients with severely depressed left ventricular function and complex coronary lesions. The availability of hemodynamic support devices offers a promising option to reduce PCI-related complications in high-risk procedures. We report the case of a 79-year-old man who suffered from unstable angina. The coronary angiogram revealed multivessel disease including a significant distal left main (LM) stenosis. Additionally, the patient had a history of chronic lymphatic leukemia with immune hemolysis. Therefore, the patient was considered to be at exceptionally high mortality risk in case of cardiac surgery. We decided to perform a percutaneous revascularization of the LM supported by the Impella Recover LP 2.5 assist device. This case report discusses the principles of indications, technique and complications of this new addition to interventional cardiology.
authors.affiliation: Immanuel Diakonie Group, Heart Center Brandenburg in Bernau, Department of Cardiology, Bernau, Germany. h.minden@immanuel.de
authors.forename: H H
authors.initials: HH
authors.lastname: Minden
authors.forename: H
authors.initials: H
authors.lastname: Lehmann
authors.forename: J
authors.initials: J
authors.lastname: Meyhöfer
authors.forename: C
authors.initials: C
authors.lastname: Butter
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis; D003131:Combined Modality Therapy; D023921:Coronary Stenosis / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome