SCAI Bifurcation Club Webinar Series: Procedural Approaches and Techniques for Complex Lesions-Bifurcation in AMI Cardiogenic Shock, Case 2

Video Transcription

Video Summary

The video discusses a case of an 84-year-old female artist who presented to the emergency room with epigastric discomfort radiating to her substernal area. She had a history of hypertension and elevated troponin levels. The patient underwent a catheterization and was found to have a critical disease at the left main proximal circumflex and the LAD. The decision was made to perform a high-risk PCI with Impella mechanical support. The procedure involved using axillary access and performing atherectomy to the LAD and non-compliant balloon angioplasty to the circumflex. The patient experienced successful results and was reported to be alive and well in a newspaper article. The video also discusses technical challenges encountered during the procedure and provides data on the survival rate of patients who underwent a similar approach.

Asset Subtitle

Amir Kaki, MD, FSCAI

Keywords

84-year-old female artist

emergency room

epigastric discomfort

catheterization

high-risk PCI

Impella mechanical support