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CASE REPORT
Year : 2022  |  Volume : 6  |  Issue : 3  |  Page : 75-77

ECPella: High-risk percutaneous coronary intervention in cardiogenic shock “case report”


1 Department of Internal Medicine, College of Medicine, Imam Mohammad IBN Saud Islamic University; Department of Adult Critical Care, Dr. Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia
2 Department of Internal Medicine, College of Medicine, Imam Mohammad IBN Saud Islamic University, Riyadh, Saudi Arabia
3 Department of Cardiac Critical Care, King Abdulaziz Medical City, Riyadh, Saudi Arabia
4 Department of Cardiology, Dr. Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia
5 Departments of Adult Critical Care, Dr. Sulaiman Al-Habib Medical Group; Department of Internal Medicine, College of Medicine, Al-Faisal University, Riyadh, Saudi Arabia

Correspondence Address:
Rayan Qutob
Department of Internal Medicine, Imam Mohammad IBN Saud Islamic University, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sccj.sccj_18_22

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The utilization of mechanical circulatory support devices in high-risk percutaneous coronary interventions (PCI) has recently evolved. In Saudi Arabia, the use of such devices is under-reported. Here, we present a 36-year-old patient who was admitted to the hospital with a non-ST-elevation myocardial infarction with biventricular dysfunction. A high-risk PCI consist of unprotected left main stenting was performed with the assistance of venoarterial extracorporeal membrane oxygenation that allowed smooth and successful intervention. Two days later, Impella was used to augment the recovery of the myocardium. The implementation of this approach helped our patient hemodynamically and allowed the recovery of the myocardium.


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