Bifurcation PCI in Cardiogenic Shock and High-Risk PCI-Impella ECP Supported Bifurcation PCI in High-Risk PCI

Video Transcription

Video Summary

Dr. Amir Khaki, an interventional cardiologist from Detroit, presented a unique ECP case involving a bifurcation on a patient, where limited literature supports the approach taken. Dr. Khaki discussed using the ECP (Extracorporeal Circulatory Support), detailing its setup and application. The device, which ensures over three and a half liters of blood flow, was employed in the first-ever human case in 2020. The presentation covered the procedure's complexities, such as crossing the aortic valve wirelessly and using a 9 French sheath with a 21 French impeller, discussing various technical aspects including atherectomy and stenting strategies. The case involved treating a 79-year-old patient with bifurcation lesions, using devices like orbital atherectomy and kissing balloons. The session concluded with a discussion on treating bifurcations and the potential of the ECP in different scenarios like high-risk PCI, alongside feedback from other experts on its utility and implications in cardiogenic shock treatments.

Asset Subtitle

Amir Kaki, MD, FSCAI

Keywords

ECP

bifurcation

atherectomy

calcium

laser

orbital

plaque

interventional cardiology

cardiogenic shock

calcium

laser

orbital

plaque

atherectomy