Leonie Großekettler1, Bastian Schmack2, Hugo A Katus1, Raffi Bekeredjian3, Philip Raake1. 1. Department of Internal Medicine III, Cardiology, Angiology and Pulmonology University Hospital of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. 2. Department for Cardiac Surgery, University Hospital of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany. 3. Department of Cardiology, Robert-Bosch Hospital, Auerbachstraße 110, 70376 Stuttgart, Germany.
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.
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.
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