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

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

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