Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?

Jerzy Sacha; Krzysztof Krawczyk; Maciej Gawor; Joanna Płonka; Marek Gierlotka

doi:10.5114/aic.2021.104783

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2021
vol. 17

Send email

Copy url:

abstract:

Image in intervention

Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?

Jerzy Sacha

^{1, 2}

,

Krzysztof Krawczyk

²

,

Maciej Gawor

³

,

Joanna Płonka

²

,

Marek Gierlotka

²

Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland
Department of Cardiology, University Hospital, Institute of Medical Sciences, University of Opole, Opole, Poland
Department of Anesthesiology and Intensive Care, University Hospital, Institute of Medical Sciences, University of Opole, Opole, Poland

Adv Interv Cardiol 2021; 17, 1 (63): 126–128

DOI: https://doi.org/10.5114/aic.2021.104783

Online publish date: 2021/03/27

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Sacha J, Krawczyk K, Gawor M, Płonka J, Gierlotka M. Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(1):126-128. doi:10.5114/aic.2021.104783.

APA

Sacha, J., Krawczyk, K., Gawor, M., Płonka, J.,  & Gierlotka, M. (2021). Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(1), 126-128. https://doi.org/10.5114/aic.2021.104783

Chicago

Sacha, Jerzy, Krzysztof Krawczyk, Maciej Gawor, Joanna Płonka,  and Marek Gierlotka. 2021. "Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 17 (1): 126-128. doi:10.5114/aic.2021.104783.

Harvard

Sacha, J., Krawczyk, K., Gawor, M., Płonka, J.,  and Gierlotka, M. (2021). Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(1), pp.126-128. https://doi.org/10.5114/aic.2021.104783

MLA

Sacha, Jerzy et al. "Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 17, no. 1, 2021, pp. 126-128. doi:10.5114/aic.2021.104783.

Vancouver

Sacha J, Krawczyk K, Gawor M, Płonka J, Gierlotka M. Balloon aortic valvuloplasty, Impella insertion 
and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(1):126-128. doi:10.5114/aic.2021.104783.

Complex high-risk indicated patients (CHIP) with a limited vascular access constitute a real challenge for percutaneous coronary interventions (PCI), particularly if they require mechanical circulatory support devices. A 73-year-old man with recent non-ST segment elevation myocardial infraction, depressed left ventricular function (ejection fraction, 40%), aortic stenosis (max/mean gradient, 50/32 mm Hg; aortic valve area and its index, 1.0 cm2 and 0.5 cm2/m2) and numerous comorbidities (including recently diagnosed lung cancer in the initial phase) was scheduled by the heart team for balloon aortic valvuloplasty (BAV) and Impella-supported complex PCI of the left main (LM) and the left anterior descending artery (LAD) (Figure 1 A) – the dominant right coronary artery was chronically occluded without the viability of the corresponding myocardium. Due to the abdominal aortic aneurysm with intraluminal thrombus, the procedure could only be performed via upper limb access, and the following interventional images demonstrate how to do it fully percutaneously without general anesthesia.

Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?

Jerzy Sacha 1, 2 , Krzysztof Krawczyk 2 , Maciej Gawor 3 , Joanna Płonka 2 , Marek Gierlotka 2

Jerzy Sacha

^{1, 2}

,

Krzysztof Krawczyk

²

,

Maciej Gawor

³

,

Joanna Płonka

²

,

Marek Gierlotka

²