Impella CP and Veno-Arterial Extracorporeal Membrane Oxygenator as a sequential add-on combination circulatory support in ST-segment elevation myocardial infarction complicated by cardiogenic shock

Cardiovasc Revasc Med. 2019 Nov;20(11S):60-62. doi: 10.1016/j.carrev.2019.08.002. Epub 2019 Aug 9.

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.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Extracorporeal Membrane Oxygenation*
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • No-Reflow Phenomenon / diagnosis
  • No-Reflow Phenomenon / etiology
  • No-Reflow Phenomenon / physiopathology
  • No-Reflow Phenomenon / therapy*
  • Recovery of Function
  • Respiration
  • Respiratory Distress Syndrome / diagnosis
  • Respiratory Distress Syndrome / etiology
  • Respiratory Distress Syndrome / physiopathology
  • Respiratory Distress Syndrome / therapy*
  • ST Elevation Myocardial Infarction / diagnostic imaging
  • ST Elevation Myocardial Infarction / physiopathology
  • ST Elevation Myocardial Infarction / therapy*
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome
  • Ventricular Function, Left