Coronary LV support

Medstream360 members only

To view this video and learn more about the procedure please Login or Register.
Membership is free!

The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

Complex PCI of RCA CTO and or LAD D1 Lesions with Impella LV Support

LV support

77 year old male with known chronic systolic heart failure presented with new onset CCS Class III angina and a positive stress MPI. A Cardiac Cath on May 11, 2017 revealed III Vessel CAD: 100% calcified proximal RCA, 95% LAD-D1 bifurcation, 100% calcified proximal LCx and SYNTAX score of 54.5 with severe LV dysfunction, EF 20%. Cardiac MRI showed viability in all three coronary territories. After Heart Team discussion, CABG was recommended, but declined by CT surgeon due to severe biventricular dysfunction. Now planned for complex high-risk protected PCI of RCA CTO and/or LAD/D1 lesions with Impella LV support.


Case presentation


Lorem ipsum dolor sit amet consectetur adipisicing elit. A, dignissimos?