Category: Case Reviews

High-Risk PCI Involving Chronic Kidney Disease, PVD and LV-dysfunction

Dr. Flaherty presents a case review of an 85-year-old male who presented with unstable angina symptoms, multivessel coronary artery disease (CAD), severe PVD (right leg intermittent claudication), moderate-severe bioprosthetic aortic valve stenosis, and a depressed ejection fraction (35%). IMP-938

Shockwave-facilitated Aortoiliac Treatment with Impella

A “Transformative Technique” Dr. Jason Wollmuth describes how Shockwave lithoplasty may provide a safer way to gain large bore femoral access by minimizing vessel trauma/dissection and limiting the need for stenting. He presents a complex case in which Shockwave facilitated Impella CP® support as well as multivessel PCI. The Shockwave Medical Intravascular Lithotripsy (IVL) System, … Continue reading “Shockwave-facilitated Aortoiliac Treatment with Impella”

Case Video: Shockwave Assisted Protected PCI with Dr. Brian Kolski

Dr. Brian Kolski presents a case in which he used the Shockwave Medical Intravascular Lithotripsy (IVL) System to dilate calcified lesions in a 58-year-old patient initially turned down for revascularization options as well as transplant. Dr. Brian Kolski is a cardiologist at St. Joseph Hospital in Orange County, California. Dr. Kolski explains that the Shockwave … Continue reading “Case Video: Shockwave Assisted Protected PCI with Dr. Brian Kolski”

Case Video: Protected PCI with Shockwave Assisted Large Bore Access

Consider Shockwave as Part of Large Bore Access Insertion Algorithm Large bore access and Impella® delivery can be challenging in patients with significant peripheral vascular disease. Alternative access options, such as axillary or transcaval, require a certain learning curve and case volume. In this video, Dr. Andrew Goodman, discusses the use of Shockwave Medical Intravascular … Continue reading “Case Video: Protected PCI with Shockwave Assisted Large Bore Access”

Challenging Impella-supported Protected PCI Cases

State of the Art Approach for Optimizing Patients Prior to TAVR Dr. Siddharth Wayangankar discusses his protected PCI strategy for managing patients with severe aortic stenosis and low EF with multivessel disease, specifically difficult to stent distal left main lesions. “The bottom line is that these patients need complete revascularization before considering TAVR,” he tells … Continue reading “Challenging Impella-supported Protected PCI Cases”

Intravascular Lithotripsy with Shockwave prior to Protected PCI with Impella CP

Shockwave Intravascular Lithotripsy for Large Bore Access Followed by High-Risk PCI Dr. Chandan Devireddy, interventional cardiologist from Emory School of Medicine joins Dr. George Vetrovec to present a high-risk PCI case using intravascular lithotripsy to prepare a complex, calcified femoral artery for large bore access. This case demonstrates a novel, adjunctive technique to gain femoral … Continue reading “Intravascular Lithotripsy with Shockwave prior to Protected PCI with Impella CP”

Protected PCI with Impella and Intravascular Lithotripsy with Shockwave

Dr. Robert Riley of Christ Hospital presents a high-risk PCI case that required hemodynamic support with the Impella CP heart pump and utilized intravascular lithotripsy with Shockwave for vascular access. Subscribe, or join the conversation by following us on Twitter: @ProtectedPCI NPS-196

Alexander Truesdell Presents a Case on Cardiomyopathy with Impella Support

Alexander Truesdell, MD, of Inova Heart and Vascular Institute, discusses a case of ischemic cardiomyopathy involving a 70 year old male presenting with diabetes, multi-vessel CAD, LV systolic dysfunction and chronic systolic heart failure. The Inova heart team started with a multi-disciplinary consultation using a Protected PCI algorithm to determine the appropriate treatment option for … Continue reading “Alexander Truesdell Presents a Case on Cardiomyopathy with Impella Support”