Key result
Preemptive ECMO facilitates high-risk PCI in a critically ill patient with complex comorbidities.
Why the study?
Does preemptive use of extracorporeal membrane oxygenation facilitate high-risk percutaneous cardiac interventions in a critically ill patient?
Case Report (n=1)
Does preemptive use of extracorporeal membrane oxygenation facilitate high-risk percutaneous cardiac interventions in a critically ill patient?
Preemptive ECMO may facilitate complex, high-risk percutaneous cardiac interventions in critically ill patients deemed too ill for surgery.
As percutaneous cardiac interventions continue to evolve, high-risk procedures are being performed on patients deemed too ill for surgery. What were once considered lower-risk procedures compared with open cardiac interventions may no longer be so because of the complex nature of the interventions and the complex comorbidities of the patients on whom these are being performed. We present a case involving high-risk percutaneous cardiac interventions (left main coronary angioplasty and aortic balloon valvuloplasty), facilitated by the use of extracorporeal membrane oxygenation in a critically ill patient with severe aortic stenosis, left main coronary disease, and ischemic cardiomyopathy.
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Patel et al. (2014) conducted a case report in Severe aortic stenosis, left main coronary disease, and ischemic cardiomyopathy (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated. Preemptive use of extracorporeal membrane oxygenation successfully facilitated high-risk percutaneous cardiac interventions in a critically ill patient with complex comorbidities.
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