Why the study?
Does a 16F axial flow pump provide effective circulatory support during high-risk coronary angioplasty in a patient with cardiogenic shock?
Does a 16F axial flow pump provide effective circulatory support during high-risk coronary angioplasty in a patient with cardiogenic shock?
A novel 16F axial flow pump provided effective circulatory support during high-risk PCI in a patient with cardiogenic shock, leading to rapid shock reversal and significant LVEF recovery.
Supports feasibility of 16F pump in shock during high-risk PCI; hypothesis-generating, needs prospective trials.
We report the case of a 75-year-old patient who suffered from subacute myocardial infarction and severely impaired left ventricular ejection fraction (EF: 17%). Using a novel 16F left ventricular assist device we performed an angioplasty of the right coronary artery, and of the left anterior descending artery. As a result of the circulatory support the patient recovered from cardiogenic shock within 8 hr. At a pump speed of 45,000 rpm the axial flow pump generated flow rates up to 3.3 l/min. The 16F pump cannula was removed using local compression. The EF was 51% at 30-day follow-up examination.
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Ferrari et al. (2005) studied this question.
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