Exploring Personal Protection During High-Risk PCI in a COVID-19 Patient: Impella CP Mechanical Support During ULMCA Bifurcation Stenting

Luca Bettari; Gaetano Pero; Cristian Maiandi; Antonio Messina; Matteo Saccocci; Marco Cirillo; Giovanni Troise; Elena Conti; Claudio Cuccia; Diego Maffeo

doi:10.1016/j.jaccas.2020.03.006

Exploring Personal Protection During High-Risk PCI in a COVID-19 Patient: Impella CP Mechanical Support During ULMCA Bifurcation Stenting

JACC Case Rep. 2020 Jul 15;2(9):1279-1283. doi: 10.1016/j.jaccas.2020.03.006. Epub 2020 Apr 10.

Authors

Affiliations

¹ Interventional Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
² Cardiac Surgery Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
³ Heart Failure Surgery Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
⁴ Cardiovascular Intensive Care Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.
⁵ Cardiology Unit, Cardiovascular Department, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy.

Abstract

The correct management of patients with coronavirus disease-2019 (COVID-19) and acute coronary syndrome is still uncertain. We describe the percutaneous treatment of an unprotected left main coronary artery in a patient who is positive for COVID-19 with unstable angina, dyspnea and fever. Particular attention will be dedicated to the measures adopted in the catheterization laboratory to protect the staff and to avoid further spread of the infection. (Level of Difficulty: Intermediate.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; LMCA, left main coronary artery; high-risk PCI; personal protection equipment.

Publication types

Case Reports