Exploring Personal Protection During High-Risk PCI in a COVID-19 Patient: Impella CP Mechanical Support During ULMCA

Luca Bettari1, Gaetano Pero1, Cristian Maiandi1

  • 1Interventional Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.

JACC. Case Reports
|April 16, 2020
PubMed

Insights

Managing patients with COVID-19 and acute coronary syndrome remains challenging. This case study details percutaneous coronary intervention for unprotected left main disease in a COVID-19 patient, emphasizing staff protection protocols.

Area of Science:

  • Interventional Cardiology
  • Infectious Disease Management
  • Cardiovascular Medicine

Background:

  • Optimal management strategies for patients with concurrent COVID-19 and acute coronary syndrome (ACS) are not well-defined.
  • Left main coronary artery disease poses significant risks, especially in critically ill patients.

Observation:

  • A case of a COVID-19 positive patient presenting with unstable angina, dyspnea, and fever is described.
  • The patient required percutaneous coronary intervention (PCI) for an unprotected left main coronary artery stenosis.

Findings:

  • Successful percutaneous treatment of unprotected left main coronary artery disease was performed in a COVID-19 patient.
  • Specific protocols were implemented in the cardiac catheterization laboratory to ensure staff safety and prevent viral transmission.

Implications:

  • This case highlights a feasible approach for managing complex coronary artery disease in COVID-19 patients.
  • Adherence to stringent safety measures is crucial for healthcare providers performing procedures on infectious patients.