Case report shows improved cardiac index in a man with ischemic cardiomyopathy using aortic valvuloplasty, indicating effective management of cardiogenic shock.
A 68-year-old man with ischemic cardiomyopathy presented with critical aortic stenosis and Society for Cardiovascular Angiography and Interventions stage D cardiogenic shock. Because of occluded bilateral femoral vasculature, a right axillary single-access Impella balloon aortic valvuloplasty approach was successfully performed, improving the patient's cardiac index from 1.5 to 2.5 L/min/m2. This case highlights the use of pre-intravascular ultrasound imaging, the "dry-exchange" technique to enhance safety, and single-access Impella balloon aortic valvuloplasty to maintain cardiac output during repeated prolonged balloon inflations.
No takes yet. Share an insight, caveat, or question.
Lai et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: