title: ECMO as a bridge to high-risk rotablation of heavily calcified coronary arteries.
abstract: Mechanical circulatory support (MCS) with short-term ventricular assist devices has been used as a bridge to high-risk percutaneous coronary interventions (PCI), as well as during interventions and in the post-procedural recovery period. Percutaneous extracorporeal membrane oxygenation (ECMO) is used when full cardiopulmonary support is necessary due to severe biventricular and pulmonary dysfunction. Prompted by two cases of high-risk rotablation of heavily calcified coronary arteries where ECMO was used as a bridge to intervention and post-intervention recovery, we reviewed the bibliography and the new guidelines on cardiac revascularization with regard to the utility of MCS devices in high-risk PCI cases.
authors: Thessaloniki Heart Institute, St. Luke's Hospital, Evrivias 2, Thessaloniki, Greece.
authors: P
authors: P
authors: Dardas
authors: N
authors: N
authors: Mezilis
authors: V
authors: V
authors: Ninios
authors: E K
authors: EK
authors: Theofilogiannakos
authors: D
authors: D
authors: Tsikaderis
authors: N
authors: N
authors: Tsotsolis
authors: A
authors: A
authors: Kolettas
authors: N
authors: N
authors: Nikoloudakis
authors: A A
authors: AA
authors: Pitsis
mesh_terms: D002114:Calcinosis / Q000150:complications* / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000209:etiology* / Q000601:surgery*; D005112:Extracorporeal Circulation / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors