Journal article

Publication year: 2020

Pages: S155-S157

Journal: Cardiovascular Revascularization Medicine

Volume number: 21

Issue number: 11

ISSN: 1553-8389

eISSN: 1878-0938

DOI Link: https://doi.org/10.1016/j.carrev.2020.02.010

Publisher: Elsevier

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.

Harvard Citation style: Boeder, 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 Citation style: Boeder, 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