Dr. Tom Mulhearn of Cardiovascular Specialists of Louisiana presents a complex PCI case in the setting of severe LV dysfunction. The 49 year old male patient presented to a satellite office with chest pain. He had poorly controlled type II diabetes, hypertension, hyperlipidemia, and he was a smoker. An angiogram showed a normal left main, … Continue reading “Severe Left Ventricular Dysfunction and Protected PCI”
Category: Protected PCI
Download the Mt. Sinai Protected PCI Algorithm to guide decision-making for appropriate use of the Impella 2.5 and Impella CP heart pump for Protected PCI.
Obtaining Femoral Access: Optimal Techniques Dr. Michael Lim of St. Louis University presents an overview on gaining femoral access and how to handle complications. He discusses micropuncture, handing the low stick, and the use of ultrasound guidance. Tune in to learn about femoral access skills and complications management from Dr. Lim. Related Content: Femoral Access … Continue reading “Optimal Techniques for Gaining Femoral Access”
Download the WVU Heart & Vascular Institute Complete Revascularization of Complex and High Risk Coronary Artery Disease Algorithm.
Dr. Anmar Kanaan of Cleveland Clinic Akron General joins Dr. Cathy Jeon to discuss a case of a 60 year old male who presented with episodes of ventricular tachycardia and firing of his AICD. The patient has a history of tobacco abuse, severe COPD, complex coronary artery disease with a previous stent in his left … Continue reading “Complex PCI for Patient with Cardiomyopathy”
Complex CTO Case with Dr. John Troy Owens Dr. John Troy Owens of Virginia Commonwealth University (VCU) presents a case of a 62-year-old male with history of extensive coronary artery disease and prior CABG (LIMA-LAD, SVG-OM, SVG-PDA), severely reduced left ventricular function with history of apical aneurysm and resolved LV thrombus. Additionally, the patient had … Continue reading “Complex Chronic Total Occlusion”
Dr. Adhir Shroff of the University of Illinois at Chicago recently presented at the SCAI Fellows 2017 conference during a workshop on femoral access. His presentation outlined how to identify complications and manage patients on Impella support. Dr. Shroff presents a case-based review of how to avoid access complications as well as how to address … Continue reading “Identification of Complications and Early Management”
Dr. Hiram Bezerra explains how his team created a Protected PCI algorithm and got buy-in from the entire heart team. Dr. Hiram Bezerra of University Hospital, Cleveland, shares his success in developing a Protected PCI algorithm. He shares his experience in achieving consensus from the entire heart team, including interventional cardiologists, cardiothoracic surgeons, heart failure … Continue reading “Developing a Protected PCI Algorithm”
Dr. Benham Tehrani presents a case of a 75 year old male with preserved left ventricular ejection fraction, severe coronary artery disease and comorbidities who was evaluated by a heart team and was revascularized with a Protected PCI procedure. The patient presented with acute pulmonary edema and approximately one week of chest pain, shortness of breath, … Continue reading “High Risk PCI Involving Severe Coronary Artery Disease”
Dr. Thomas Tu of Baptist Health Hospital discusses his approach to placing Impella once the sheath has been placed. Dr. Tu outlines several techniques, including: Over the wire versus wireless Angiographic landmarks for cannula placement Loading the Impella catheter on to the guidewire Aligning the placement guidewire Obtaining hemostasis Tune in to learn tips, tricks … Continue reading “Impella Insertion: Tips & Tricks”