Bifurcation PCI in Cardiogenic Shock and High-Risk PCI-ECMO Supported Bifurcation PCI in Cardiogenic Shock

Video Transcription

Video Summary

The speaker presents an intricate heart case from the South Side of Chicago involving a 56-year-old man with advanced coronary artery disease who presents with a STEMI. Despite some initial signs of stability, the patient deteriorates rapidly, experiencing polymorphic ventricular tachycardia and pulmonary edema. A team of cardiologists discuss the diagnosis and treatment strategies, highlighting the intricacies of coronary intervention. The patient undergoes multiple interventions, including ballooning of the arteries, stenting, and eventually requires ECMO support due to cardiogenic shock and PEA arrest. The case demonstrates the complexity of managing severe heart disease and the need for robust emergency intervention strategies, considering high-risk hemodynamic support systems like ECMO and impella. The discussion also highlights the importance of pre-planning and team coordination to handle complex cardiovascular interventions and emergencies efficiently.

Asset Subtitle

Sandeep Nathan, MD, FSCAI

Keywords

coronary artery disease

STEMI

ECMO support

cardiogenic shock

ventricular tachycardia

coronary intervention