Document Detail


High-risk coronary intervention with a percutaneous ventricular assist device in the presence of an unstable left ventricular thrombus.
MedLine Citation:
PMID:  20603517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left ventricular (LV) thrombus is one of the most common complications of myocardial infarction (MI). Contemporary devices for mechanical support during high-risk percutaneous coronary intervention (PCI) include intra-aortic balloon pumps (IABPs) or percutaneous left ventricular assist devices (pVADs). We describe the case of an elderly patient presenting with critical double-vessel disease, severely depressed LV function, and a large LV thrombus in the setting of a mechanical fall causing spinal cord compression. In this report, we describe the use of a TandemHeart pVAD during high-risk PCI in the presence of an unstable LV thrombus.
Authors:
Navin K Kapur; Chris Pan; Barath Krishnamurthy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-06     Completed Date:  2010-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E138-40     Citation Subset:  IM    
Affiliation:
Tufts Medical Center, Division of Cardiology, 800 Washington Street, Box No. 80, Boston, MA 02111, USA. nkapur@tuftsmedicalcenter.org
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Aged, 80 and over
Heart-Assist Devices*
Humans
Male
Myocardial Infarction / complications*
Risk Factors
Spinal Cord Compression / etiology
Thrombosis / etiology*,  therapy*
Treatment Outcome
Ventricular Dysfunction, Left / etiology*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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