First Reported Case of ‘High-Risk’ Protected PCI with Impella in a Very Old Patient with Multiple Comorbidities

Rao A1, Mehta H1, Reddy KVC1,2*, Hajari R3 and Ravishankar V4

1Department of Clinical and Interventional Cardiology, Lilavati Hospital and Research Center, India 2Department of Structural and Interventional Cardiology, Apollo Hospital, India 3Department of Cardiac Anesthesia, Lilavati Hospital and Research Center, India 4Department of Cardiovascular and Thoracic Surgery, Lilavati Hospital and Research Center, India

^*Correspondance to: Reddy KVC 

 PDF  Full Text Case Report | Open Access

Abstract:

Background: For a long time, high-risk and complex coronary interventions had been in the exclusive domain of cardiac surgeons. High-risk "protected" Percutaneous Coronary Intervention (PCI) using mechanical circulatory support (MCS) devices such as Impella have now emerged as a viable option particularly in high-risk patients with multiple comorbidities. Clinical Case: Here we present the first reported case in medical literature of the use of Impella device during a unprotected Left Main (LM) and complex bifurcation Percutaneous Coronary Intervention (PCI), in a 93 year old patient with multiple comorbidities. Conclusion: This case highlights the problems or difficulties encountered in using MCS in such patient subsets and giving some valuable lessons for its widespread use in the future.

Keywords:

Impella device; Complex percutaneous coronary intervention; CAD; MVD

Cite the Article:

Rao A, Mehta H, Reddy KVC, Hajari R, Ravishankar V. First Reported Case of ‘High-Risk’ Protected PCI with Impella in a Very Old Patient with Multiple Comorbidities. Ann Clin Case Rep. 2022; 7: 2236..