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Updated: Aug 6, 2026
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Microaxial Flow Pump Support as a Bridge to Transaxillary TAVI-In-TAVI in Cardiogenic Shock
Matteo Orlandi1, Niccolò Ciardetti2, Lucrezia Biagiotti1
1Department of Experimental and Clinical Medicine University of Florence Florence Italy.
Clinical Case Reports
|July 24, 2026
Summary
A patient with a degenerated transcatheter aortic valve received temporary mechanical circulatory support. This intervention stabilized the patient, allowing for a successful transaxillary TAVI-in-TAVI procedure.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Devices
Background:
- Degeneration of transcatheter aortic valves (TAV) can lead to severe complications.
- Cardiogenic shock is a life-threatening condition requiring immediate intervention.
Purpose of the Study:
- To describe a case of cardiogenic shock caused by a degenerated TAV.
- To present a staged transaxillary TAVI-in-TAVI procedure as a treatment option.
Main Methods:
- Initiation of temporary mechanical circulatory support using a transvalvular microaxial flow pump.
- Performance of a staged transaxillary TAVI-in-TAVI (transcatheter aortic valve implantation in transcatheter aortic valve implantation) procedure.
Main Results:
- Rapid stabilization of the patient's cardiogenic shock after mechanical circulatory support.
- Favorable outcome following the staged transaxillary TAVI-in-TAVI procedure.
Conclusions:
- Temporary mechanical circulatory support is effective for stabilizing patients with acute valve degeneration.
- Transaxillary TAVI-in-TAVI is a viable treatment for degenerated TAV, offering a favorable outcome.
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