Journalartikel

First-in-Man Lithoplasty of a LIMA Bypass With ECMO Support in a Last-Remaining Vessel


AutorenlisteBoeder, Niklas F.; Bayer, Matthias; Niemann, Bernd; Nef, Holger M.

Jahr der Veröffentlichung2020

SeitenS155-S157

ZeitschriftCardiovascular Revascularization Medicine

Bandnummer21

Heftnummer11

ISSN1553-8389

eISSN1878-0938

DOI Linkhttps://doi.org/10.1016/j.carrev.2020.02.010

VerlagElsevier


Abstract
We report the case of a 70-year-old patient with history of chronic heart disease who underwent bypass surgery twice beforehand and was admitted due to non-ST segment elevation myocardial infarction. Angiography showed degeneration of all bypass grafts except the LIMA bypass, which showed significant ostial stenosis with severe calcification. Peri-operative risk was computed to be as high as 12.3% (STS Score). An interventional strategy was chosen: the very high-risk procedure was performed safely under the protection afforded by venoarterial ECMO and cardiac surgeons on standby using a coronary intravascular lithoplasty (IVL) balloon. After implantation of a drug eluting stent, the primary angiogram showed a satisfactory result. The patient was discharged without further complications short after the procedure and is closely followed-up. (C) 2020 Elsevier Inc. All rights reserved.



Zitierstile

Harvard-ZitierstilBoeder, N., Bayer, M., Niemann, B. and Nef, H. (2020) First-in-Man Lithoplasty of a LIMA Bypass With ECMO Support in a Last-Remaining Vessel, Cardiovascular Revascularization Medicine, 21(11), pp. S155-S157. https://doi.org/10.1016/j.carrev.2020.02.010

APA-ZitierstilBoeder, N., Bayer, M., Niemann, B., & Nef, H. (2020). First-in-Man Lithoplasty of a LIMA Bypass With ECMO Support in a Last-Remaining Vessel. Cardiovascular Revascularization Medicine. 21(11), S155-S157. https://doi.org/10.1016/j.carrev.2020.02.010



Schlagwörter


ATHERECTOMYCORONARY STENOSESHeart teamHeavy calcificationLast remaining vesselLithoplasty


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