Single-Access Technique for Impella-Assisted Balloon Aortic Valvuloplasty and High-Risk PCI in Cardiogenic Shock

Authors

Gennaro Giustino, Henry Ford HealthFollow
Ahmad Jabri, Henry Ford HealthFollow
Brian P. O’Neill, Henry Ford HealthFollow
James C. Lee, Henry Ford HealthFollow
Pedro Engel Gonzalez, Henry Ford HealthFollow
Jonathan X. Fang, Henry Ford HealthFollow
Dee Dee Wang, Henry Ford HealthFollow
Tiberio M. Frisoli, Henry Ford HealthFollow
William W. O'Neill, Henry Ford HealthFollow
Pedro A. Villablanca, Henry Ford HealthFollow

Recommended Citation

Giustino G, Jabri A, O'Neill BP, Lee JC, Engel P, Fang JX, Wang DD, Frisoli TM, O'Neill WW, and Villablanca PA. Single-Access Technique for Impella-Assisted Balloon Aortic Valvuloplasty and High-Risk PCI in Cardiogenic Shock. JACC Case Rep 2025; 30(5).

Document Type

Article

Publication Date

3-5-2025

Publication Title

JACC Case Rep

Abstract

The single-access technique for Impella-assisted high-risk percutaneous coronary intervention has been previously described and is frequently used in clinical practice to avoid a secondary arterial access and potentially reduce the risk of bleeding and vascular complications. Aortic stenosis associated with cardiogenic shock is associated with high morbidity and mortality. In this setting, Impella-supported balloon aortic valvuloplasty has been reported to be feasible and safe. In this case, we describe a technique for single-access Impella, balloon aortic valvuloplasty, and high-risk percutaneous coronary intervention for left main coronary artery disease in a patient with severe aortic stenosis and large body habitus presenting in cardiogenic shock.

PubMed ID

40054952

Volume

30

Issue

5

First Page

102986

Last Page

102986