Left main coronary artery transradial rescue percutaneous coronary intervention for acute myocardial infarction complicated by cardiogenic shock with Impella ventricular mechanical support.
Mechanical ventricular assist support and especially Impella device that is implanted via femoral access are considered a cornerstone in the therapeutic arsenal of the management of cardiogenic shock. Indeed, the potent antithrombotic agents administered during acute coronary syndromes constitute potential bleeding risk factors. Transradial interventions are nowadays widely used in ST-elevation myocardial infarction patients. However, some operators feel uncomfortable with the transradial approach when facing cardiogenic shock. We report a case of transradial rescue percutaneous intervention for cardiogenic shock in a young man with support of an Impella device via femoral access.
Department of Cardiology, CHU de Caen, Caen, France. ziad_dahdouh@hotmail.com
Ziad
Z
Dahdouh
Vincent
V
Roule
Thérèse
T
Lognoné
Rémi
R
Sabatier
Gilles
G
Grollier
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D004867:Equipment Design; D005500:Follow-Up Studies; D006352:Heart Ventricles; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*