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Published on: February 28, 2012
First high-risk percutaneous coronary intervention under use of the iVAC2l system in Germany
Alexander Samol1, Stefanie Schmidt1, Melanie Zeyse1
1Department of Cardiology, Johannes Wesling University Hospital, Ruhr University Bochum, Minden, Germany.
Insights
This study details the first successful use of a transfemoral pulsatile ventricular assist device during high-risk percutaneous coronary intervention for complex stenosis. The device proved safe and feasible, offering potential hemodynamic benefits in complex cardiac interventions.
Area of Science:
- Interventional Cardiology
- Cardiovascular Devices
- Mechanical Circulatory Support
Background:
- Percutaneous coronary intervention (PCI) is an alternative to coronary bypass surgery for complex stenoses.
- Complications during complex PCI may necessitate circulatory support or emergency surgery.
- Existing circulatory support devices like intra-aortic balloon pumps have limited patient outcome benefits.
Abstract:
Percutaneous coronary intervention of complex stenoses is becoming more and more of an alternative to coronary bypass surgery. Nevertheless, complications can occur and lead to the need for circulatory support and/or emergency surgery. Circulatory support devices like the intra-aortic balloon pump showed only low benefit in patients' outcome. Devices with higher cardiac output necessitate more complex implantation procedures. We report the case of the first successful use of a transfemoral pulsatile ventricular assist device with up to 2 l additional cardiac output during high-risk percutaneous coronary intervention in a 74-year-old man with complex stenosis. The device was safe and feasible during coronary intervention in its use. Its beneficial effect on hemodynamics and patients' outcome has to be evaluated in larger multicenter studies.
