Case series of high-risk percutaneous coronary intervention with rotational atherectomy under short-term mechanical circulatory support with TandemHeart in the setting of acute myocardial infarction. Issue 4 (16th September 2020)

• Record Type: Journal Article
• Authors: Großekettler, Leonie; Schmack, Bastian; Katus, Hugo A; Bekeredjian, Raffi; Raake, Philip
• Editors: Biasco, Luigi; Azzano, Alessia; Giannini, Francesco; Mukherjee, Rahul; Patel, Peysh A
• Is Part Of: European heart journal. Volume 4:Issue 4(2020)
• Page Start: 1
• Page End: 6
• Publication Date: 2020-09-16
• Subjects: Mechanical circulatory support -- TandemHeart -- Myocardial infarction -- High-risk PCI -- Heart failure -- Rotational artherectomy -- Case series; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytaa219
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background : TandemHeart is a percutaneous Ventricular Assist Device, most commonly used to provide mechanical circulatory support during high-risk percutaneous coronary intervention and postcardiotomy cardiac failure. However, TandemHeart has not been applied in patients with severe heart failure due to myocardial infarction during high-risk percutaneous coronary intervention with the need for rotational artherectomy (RA) before, so we present a first-in-man case series. Case summary : Three patients with severe HF[Please spell out HF, LA and MI (if necessary).] due to acute myocardial infarction revealed severely calcified lesions of the unprotected left main artery. We successfully used the TandemHeart as percutaneous Ventricular Assist Device during high-risk percutaneous coronary intervention with RA. Discussion : We here report our experience and show that RA under TandemHeart mechanical circulatory support is feasible and safe in case of acute MI.