Optimizing Antiplatelet Therapy in Cardiogenic Shock-Case Conclusion, Dr. Michele Esposito

Case Conclusion, Dr. Michele Esposito

Video Transcription

Video Summary

This case involved a 73-year-old man with prior bypass surgery who presented with chest pain and severe vein graft stenosis. After initial intervention, he deteriorated due to a large undetected clot, leading to cardiogenic shock managed with Impella CP, intubation, and intravenous cangrelor as bailout therapy. Despite critical illness and renal failure requiring dialysis, he improved enough for discharge but later died from advanced heart failure. The discussion emphasized the growing use of cangrelor upfront during high-risk PCI for better thrombus management, its rapid offset facilitating surgery if needed, and balancing antiplatelet therapy in complex patients.

Keywords

cangrelor

Impella CP

vein graft stenosis

cardiogenic shock

high-risk PCI