Impella Supported Left Main Rotational Atherectomy

January 3, 2018

Dr. Jai Khatri of the Cleveland Foundation presents a case review of a 76 year old male presenting with non-ST elevation MI and comorbities including hypertension, chronic kidney disease, atrial fibrillation, prior sternotomy for ASD repair. The patient presented with an ejection fraction of 45% and was referred originally for surgery, but due to the co-morbities, was turned down for surgery. While the plan was to revascularize electively, the patient decompensated and was taken to the cath lab urgently.

Dr. Khati and his team decided to place an Impella CP® heart pump for hemodynamic support given the setting of active ischemia and reduced EF to address the heavily calcified LMT/LAD with rotational atherectomy. The patient was discharged home three days after the procedure.

Tune in to learn more about Dr. Khati’s decision-making to avoid complications during this case and when to use hemodynamic support.

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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: www.protectedpci.com/indications-use-safety-information/