High-Risk PCI with Impella Support and Atherectomy

Dr. Thom Dahle, Interventional Cardiologist and Director, Valvular Heart Disease Program at St. Cloud Hospital in St. Cloud Minnesota shares a case involving an 84 year old male with a history of coronary artery disease with prior stenting of the circumflex, as well as prior medical history of diabetes, high blood pressure and prostate cancer.

The patient presented with shortness of breath and chest pain. A coronary angiogram showed a severe heavily calcified narrowing at the ostium of his left circumflex involving the left main as well as the proximal LAD and his proximal and distal circumflex stents were still patent.

Dr. Dahle and his colleagues approached the case with a heart team approach. The heart team, as well as the patient’s family, was concerned about the patient's ability to undergo open heart surgery. Therefore, the team decided on a Protected PCI with Impella CP. The team performed a Protected PCI with orbital atherectomy of his left main into the LAD and the circumflex, and subsequent bifurcation stenting of the left main into the LAD and his dominant circumflex.

Tune in to hear more about the outcome of this case.

Subscribe or join the conversation by following us on Twitter: @ProtectedPCI


To learn more about the Impella® platform of heart pumps, including important risk and safety information associated with the use of the devices, please visit: abiomed.com/important-safety-information