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Left ventricular assist devices (LVADs)

Suggested Technique
03/31/2019

Vijay A. Doraiswamy, MD, Genaro Fernandez, MD, Robert Wilson, MD,

University of Minnesota, Minneapolis, Minnesota

Vijay A. Doraiswamy, MD, Genaro Ferna...
We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not...
We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not...
We describe the first atraumatic...
03/31/2019
Cath Lab Digest
Suggested Methodology
03/04/2019

Roy B. Mukku1, MD, Joseph A. Walsh1, MD, MSc, Brett Sheridan2, MD, David V. Daniels1, MD

Roy B. Mukku1, MD, Joseph A. Walsh1, ...
In patients on VA-ECMO who develop pulmonary edema with resulting RV distension and failure, the use of balloon atrial septostomy for left heart decompression may be used as a “stress test” to assess the viability and functionality of the RV.
In patients on VA-ECMO who develop pulmonary edema with resulting RV distension and failure, the use of balloon atrial septostomy for left heart decompression may be used as a “stress test” to assess the viability and functionality of the RV.
In patients on VA-ECMO who...
03/04/2019
Cath Lab Digest
Case Report
03/01/2018

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida, and Heart of Florida, Davenport, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...
Featuring an expert operator discussion with Dr. Amir Kaki, Medical Director of the Cardiac Cath Lab, Detroit Medical Center Heart Hospital, Associate Professor of Medicine, Wayne State School of Medicine, and the Director of the CHIP...
Featuring an expert operator discussion with Dr. Amir Kaki, Medical Director of the Cardiac Cath Lab, Detroit Medical Center Heart Hospital, Associate Professor of Medicine, Wayne State School of Medicine, and the Director of the CHIP...
Featuring an expert operator...
03/01/2018
Cath Lab Digest
Case Files by Dr. George
04/29/2017

Thomas E. Waggoner, DO1, and Jon C. George, MD2
1Tucson Medical Center, Tucson, Arizona
2Einstein Medical Center, Philadelphia, Pennsylvania

 

Thomas E. Waggoner, DO1, and Jon C. G...
We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...
We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...
We report a challenging case of...
04/29/2017
Cath Lab Digest
Review
09/05/2016

Harsh Agrawal, MD1, Kul Aggarwal, MD1,2

Harsh Agrawal, MD1, Kul Aggarwal, MD1...
Percutaneous coronary interventions (PCI) have increased both in number and complexity in the last two decades. Tackling complex coronary lesions in patients who have reduced coronary and central perfusion pressures, depressed cardiac output,...
Percutaneous coronary interventions (PCI) have increased both in number and complexity in the last two decades. Tackling complex coronary lesions in patients who have reduced coronary and central perfusion pressures, depressed cardiac output,...
Percutaneous coronary...
09/05/2016
Cath Lab Digest
Protected PCI Series
10/05/2015

David H. W. Wohns, MD, John J. Mulder IV, PA-C, Spectrum Health Meijer Heart Center, Grand Rapids, Michigan.

This case is part of a series of high-risk PCI cases supported by the Impella 2.5.

David H. W. Wohns, MD, John J. Mulder...
A 78-year-old male presented with rapidly progressing angina symptoms and signs of acutely decompensating left ventricular systolic heart failure.   
A 78-year-old male presented with rapidly progressing angina symptoms and signs of acutely decompensating left ventricular systolic heart failure.   
A 78-year-old male presented...
10/05/2015
Cath Lab Digest
Protected PCI Series
05/28/2015

Mark A. Grise, MD, FACC, FSCAI, Sacred Heart Hospital, Pensacola, Florida

Mark A. Grise, MD, FACC, FSCAI, Sacre...
This case is a part of a series of high-risk PCI cases supported by the Impella 2.5
This case is a part of a series of high-risk PCI cases supported by the Impella 2.5
This case is a part of a series...
05/28/2015
Cath Lab Digest
09/02/2014

Hamza Zaheer Ansari1, Azam Hadi2,1Resident Physician, Indiana University Health, Indianapolis, Indiana; 2Assistant Professor, Division of Heart Failure, Krannert Institute of Cardiology, Indiana University Health, Indianapolis, Indiana

Hamza Zaheer Ansari1, Azam Hadi2,1Res...
Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen.
Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen.
Despite high-risk percutaneous...
09/02/2014
Cath Lab Digest
09/02/2014

Orlando Marrero, RCIS, MBA, Tampa, Florida; Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida

Orlando Marrero, RCIS, MBA, Tampa, Fl...
Q: What approach do you use when the case requires mechanical support? A: We will still use the radial approach for the intervention with femoral access for the support device (Impella [Abiomed] or an intra-aortic balloon pump [IABP]),...
Q: What approach do you use when the case requires mechanical support? A: We will still use the radial approach for the intervention with femoral access for the support device (Impella [Abiomed] or an intra-aortic balloon pump [IABP]),...
Q: What approach do you use when...
09/02/2014
Cath Lab Digest