Abstract
A 48-year-old male was admitted to our institution with an anteroseptal ST-elevation myocardial infarction and angiographic evidence of a thrombotic occlusion in the ostial segment of the left anterior descending coronary artery. The percutaneous coronary intervention resulted in "no-reflow" and cardiogenic shock. We describe our successful management strategy with sequentially combined implantation of Impella CP and Extracorporeal Membrane Oxygenator.
Keywords:
Acute myocardial infarction; Cardiogenic shock; Complications; ECMO; Impella; Mechanical Circulatory Support; No reflow; Primary PCI; STEMI.
Copyright © 2019 Elsevier Inc. All rights reserved.
MeSH terms
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Angioplasty, Balloon, Coronary / adverse effects*
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Extracorporeal Membrane Oxygenation*
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Heart-Assist Devices*
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Hemodynamics
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Humans
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Male
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Middle Aged
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No-Reflow Phenomenon / diagnosis
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No-Reflow Phenomenon / etiology
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No-Reflow Phenomenon / physiopathology
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No-Reflow Phenomenon / therapy*
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Recovery of Function
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Respiration
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Respiratory Distress Syndrome / diagnosis
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Respiratory Distress Syndrome / etiology
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Respiratory Distress Syndrome / physiopathology
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Respiratory Distress Syndrome / therapy*
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ST Elevation Myocardial Infarction / diagnostic imaging
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ST Elevation Myocardial Infarction / physiopathology
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ST Elevation Myocardial Infarction / therapy*
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Shock, Cardiogenic / diagnosis
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Shock, Cardiogenic / etiology
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Shock, Cardiogenic / physiopathology
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Shock, Cardiogenic / therapy*
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Treatment Outcome
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Ventricular Function, Left