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Case Reports
. 2024 Jan;19(1):70-73.
doi: 10.18502/jthc.v19i1.15616.

Impella CP-Assisted Balloon Aortic Valvuloplasty in 2 High-Risk Patients

Mohsen Mohandes  1 , Mónica Fuertes  1 , Alberto Pernigotti  1 , Diego Zambrano  1
Affiliations
Case Reports

Impella CP-Assisted Balloon Aortic Valvuloplasty in 2 High-Risk Patients

Mohsen Mohandes et al. J Tehran Heart Cent. 2024 Jan.

Abstract

Balloon aortic valvuloplasty (BAV) is a therapeutic option as palliative or bridging therapy in severe aortic stenosis, even though it is a risky procedure, especially in patients with concomitant left ventricular dysfunction. The use of percutaneous ventricular assist devices, such as the Impella CP, in this scenario provides optimal circulatory support and considerably reduces the risk of the procedure. Two patients with severe aortic stenosis and left ventricular dysfunction underwent BAV with the support of the Impella-CP. The Impella CP provided adequate support in both high-risk patients and safely allowed BAV.

Keywords: Aortic stenosis; Percutaneous coronary intervention; Valvular heart disease.

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Figures

Figure 1
Figure 1
A) The images depict significant lesions in the proximal and mid-segments of the left anterior descending coronary artery. B) A high-support pre-shaped wire was introduced into the left ventricle for balloon aortic valvuloplasty. Subsequently, an Impella CP was inserted into the left ventricle over a second dedicated wire. C) Balloon aortic valvuloplasty was performed with the support of an Impella CP. D) The image shows the final result after the implantation of 2 drug-eluting stents in the proximal and mid-segments of the left anterior descending coronary artery.
Figure 2
Figure 2
A) The image shows balloon aortic valvuloplasty with the Impella CP support. B) The image shows a moderate reduction in the left ventricle-aorta peak-to-peak gradient from 70 mmHg to 55 mmHg after balloon aortic valvuloplasty.
See this image and copyright information in PMC

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