High Risk Coronary Atherectomy, Perforation, and Successful Percutaneous Treatment

Abstract

We report a case of coronary perforation during high-risk percutaneous coronary intervention with Impella (Abiomed, Danvers, Massachusetts) support that resulted in cessation of pulsatile arterial flow. Maintenance of systemic perfusion due to antecedent placement of Impella 2.5 allowed for successful treatment with pericardiocentesis and covered stent placement, early discharge, and complication-free follow-up. (Level of Difficulty: Intermediate.)

Keywords

• cardiac assist devices
• coronary angiography
• hemodynamics
• percutaneous coronary interventions