Abstract
We report on a 59-year old man with acute myocardial infarction and profound cardiogenic shock in which the successful employment of the transcutaneous left ventricular assist device Impella 2.5 could rapidly establish temporary circulatory support in the catheterization laboratory, and thereby aid a high-risk three vessel revascularization procedure.
Zusammenfassung
In dieser Fallbeschreibung berichten wir über einen 59-jährigen Patienten mit akutem infarktbedingtem schwerem kardiogenem Schock, bei dem der Einsatz des transkutanen Linksherzunterstützungssystems Impella 2.5 zu einer raschen Stabilisierung der hämodynamischen Situation führte und damit eine erfolgreiche katheterinterventionelle 3-Gefäß-Revaskularisation möglich wurde.
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Literature
Deng MC, Edwards LB, Hertz MI et al (2005) Mechanical circulatory support device database of the International Society for Heart and Lung Transplantation: third annual report. J Heart Lung Transplant 24:1182–1187
Babaev A, Frederick PD, Pasta DJ et al (2005) Trends in management and outcomes of patients with acute myocardial infarction complicated by cardiogenic shock. JAMA 294:448–454
Van de Werf F, Bax J, Betriu A et al (2008) Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology. Eur Heart J 29:2909–2945
Barbone A, Holmes JW, Heerdt PM et al (2001) Comparison of right and left ventricular responses to left ventricular assist device support in patients with severe heart failure: a primary role of mechanical unloading underlying reverse remodeling. Circulation 104:670–675
Sjauw KD, Remmelink M, Baan J et al (2008) Left ventricular unloading in acute st-segment elevation myocardial infarction patients is safe and feasible and provides acute and sustained left ventricular recovery. J Am Coll Cardiol 51:1044–1141
Henriques J, Remmelink M, Baan J et al (2006) Safety and feasibility of elective high-risk percutaneous coronary intervention procedures with left ventricular support of the impella recover LP 2.5. Am J Cardiol 97:990–992
Meyns B, Stolinski MD, Leunens V et al (2003) Left ventricular support by catheter-mounted axial flow pump reduces infarct size. J Am Coll Cardiol 41:1087–1095
Remmelink M, Sjauw KD, Henriques JP et al (2007) Effects of left ventricular unloading by Impella recover LP2.5 on coronary hemodynamics. Catheter Cardiovasc Interv 70:532–537
Sjauw KD, Engstrom AE, Vis MM et al (2009) A systematic review and meta-analysis of intra-aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines? Eur Heart J 30:459–468
Thiele H, Sick P, Boudriot E et al (2008) A randomized clinical trial to evaluate the safety and efficacy of a percutaneous left ventricular assist device versus intra-aortic balloon pumping for treatment of cardiogenic shock caused by myocardial infarction. J Am Coll Cardiol 52:1584–1588
Hochman JS, Sleeper LA, Webb JG et al (2006) SHOCK Investigators. Early revascularization and long-term survival in cardiogenic shock complicating acute myocardial infarction. JAMA 295(21):2511–2515
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Borchert, B., Lawrenz, T., Gockel, B. et al. Successful high-risk three vessel coronary intervention in a patient with cardiogenic shock. Intensivmed 47, 135–138 (2010). https://doi.org/10.1007/s00390-009-0098-0
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DOI: https://doi.org/10.1007/s00390-009-0098-0