Treatment of a distal left main trifurcation supported by the TandemHeart™ left ventricular assist device

Steve Ramcharitar; Sophia Vaina; Patrick W. Serruys; George Sianos

Treatment of a distal left main trifurcation supported by the TandemHeart™ left ventricular assist device

Steve Ramcharitar, Sophia Vaina, Patrick W. Serruys, George Sianos

Erasmus MC

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

4 Citations (Scopus)

Abstract

The TandemHeart™ left ventricular assist device was used to support the haemodynamics in a case of high risk percutaneous coronary intervention where surgery was not considered to be the first line therapeutic option. The patient had poor left ventricular function with a Logistic Euroscore of 11.4%. Highlighted in this report is a novel approach to managing a left main coronary artery trifurcation with two "aggressive T" stents, facilitated by two-catheter intubation of the left main. This allows triple "kissing" balloons ("ménage à trois") and independent "active" guiding catheter manipulation. Side branch protection with a non-inflated balloon can allow a reverse crush to be performed if required.

Original language	English
Pages (from-to)	110-114
Number of pages	5
Journal	Hellenic Journal of Cardiology
Volume	48
Issue number	2
Publication status	Published - Mar 2007
Externally published	Yes

Keywords

High risk PCI
Left main trifurcation
Left ventricular assist devices

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

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title = "Treatment of a distal left main trifurcation supported by the TandemHeart{\texttrademark} left ventricular assist device",

abstract = "The TandemHeart{\texttrademark} left ventricular assist device was used to support the haemodynamics in a case of high risk percutaneous coronary intervention where surgery was not considered to be the first line therapeutic option. The patient had poor left ventricular function with a Logistic Euroscore of 11.4\%. Highlighted in this report is a novel approach to managing a left main coronary artery trifurcation with two {"}aggressive T{"} stents, facilitated by two-catheter intubation of the left main. This allows triple {"}kissing{"} balloons ({"}m{\'e}nage {\`a} trois{"}) and independent {"}active{"} guiding catheter manipulation. Side branch protection with a non-inflated balloon can allow a reverse crush to be performed if required.",

keywords = "High risk PCI, Left main trifurcation, Left ventricular assist devices",

author = "Steve Ramcharitar and Sophia Vaina and Serruys, \{Patrick W.\} and George Sianos",

year = "2007",

month = mar,

language = "English",

volume = "48",

pages = "110--114",

journal = "Hellenic Journal of Cardiology",

issn = "1011-7970",

publisher = "Hellenic Cardiological Society",

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}

TY - JOUR

T1 - Treatment of a distal left main trifurcation supported by the TandemHeart™ left ventricular assist device

AU - Ramcharitar, Steve

AU - Vaina, Sophia

AU - Serruys, Patrick W.

AU - Sianos, George

PY - 2007/3

Y1 - 2007/3

N2 - The TandemHeart™ left ventricular assist device was used to support the haemodynamics in a case of high risk percutaneous coronary intervention where surgery was not considered to be the first line therapeutic option. The patient had poor left ventricular function with a Logistic Euroscore of 11.4%. Highlighted in this report is a novel approach to managing a left main coronary artery trifurcation with two "aggressive T" stents, facilitated by two-catheter intubation of the left main. This allows triple "kissing" balloons ("ménage à trois") and independent "active" guiding catheter manipulation. Side branch protection with a non-inflated balloon can allow a reverse crush to be performed if required.

AB - The TandemHeart™ left ventricular assist device was used to support the haemodynamics in a case of high risk percutaneous coronary intervention where surgery was not considered to be the first line therapeutic option. The patient had poor left ventricular function with a Logistic Euroscore of 11.4%. Highlighted in this report is a novel approach to managing a left main coronary artery trifurcation with two "aggressive T" stents, facilitated by two-catheter intubation of the left main. This allows triple "kissing" balloons ("ménage à trois") and independent "active" guiding catheter manipulation. Side branch protection with a non-inflated balloon can allow a reverse crush to be performed if required.

KW - High risk PCI

KW - Left main trifurcation

KW - Left ventricular assist devices

UR - https://www.scopus.com/pages/publications/34548097011

M3 - Article

C2 - 17489349

AN - SCOPUS:34548097011

SN - 1011-7970

VL - 48

SP - 110

EP - 114

JO - Hellenic Journal of Cardiology

JF - Hellenic Journal of Cardiology

IS - 2

ER -

Treatment of a distal left main trifurcation supported by the TandemHeart™ left ventricular assist device

Abstract

Keywords

UN SDGs

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