Document Detail


Treatment of a distal left main trifurcation supported by the TandemHeart left ventricular assist device.
MedLine Citation:
PMID:  17489349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The TandemHeart left ventricular assist device was used to support the haemodynamics in a case of high risk percutaneous coronary intervention where surgery was not considered to be the first line therapeutic option. The patient had poor left ventricular function with a Logistic Euroscore of 11.4%. Highlighted in this report is a novel approach to managing a left main coronary artery trifurcation with two "aggressive T" stents, facilitated by two-catheter intubation of the left main. This allows triple "kissing" balloons ("ménage a trois") and independent "active" guiding catheter manipulation. Side branch protection with a non-inflated balloon can allow a reverse crush to be performed if required.
Authors:
Steve Ramcharitar; Sophia Vaina; Patrick W Serruys; George Sianos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  48     ISSN:  1109-9666     ISO Abbreviation:  -     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-05-10     Completed Date:  2007-08-24     Revised Date:  2009-02-12    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  110-4     Citation Subset:  IM    
Affiliation:
Thoraxcenter, Erasmus Medical Centre, Rotterdam, Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Vessel Prosthesis Implantation / instrumentation
Coronary Angiography
Coronary Disease / radiography,  surgery*
Heart-Assist Devices*
Humans
Male
Stents
Ventricular Dysfunction, Left / radiography,  surgery

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


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