Use of the Impella 2.5 in High | 合法醫療器材資訊網

NursingCareofPatientsWithanImpella2.5forCirculatory...·由BMcCulloch著作·2011·被引用12次—NursingCareofPatientsWithanImpella2.5forCirculatorySupport.The ...

A 71-year-old man was referred to our facility for saphenous vein bypass graft (SVG), a high-risk PCI. Diagnostic cardiac catheterization and coronary angiography performed at the referring facility showed severe triple vessel coronary disease and high-grade lesions in 2 SVGs. He had a history of coronary artery bypass grafting surgery several years prior as well as heart failure. His estimated ejection fraction was markedly decreased at 20% (normal, 55%–70%) on a recent echocardiogram. He was experiencing progression of his anginal symptoms, and his functional capacity was poor. He declined repeat bypass surgery. After careful evaluation and optimization of pharmacological therapy for heart failure, the decision was made to proceed with high-risk PCI of the SVG to the left anterior descending (LAD) artery with an Impella 2.5 used to provide partial circulatory support during the PCI.

The patient was ...