Case Report

pVAD-assisted left main DK-Crush Bifurcation PCI Post-ViV TAVR

Steve Attanasio*, Maria Isabel Camara Planek and Anshuman Das

Published: 16 April, 2021 | Volume 6 - Issue 1 | Pages: 029-032

We describe successful percutaneous coronary intervention (PCI) of significantly diseased ostial left main (LM) and distal LM bifurcation (Medina 1,1,1) in a patient with a reduced left ventricular ejection fraction and a recent valve-in-valve balloon-expandable TAVR using the DK-Crush technique with the support of a percutaneous left ventricular assist device.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001114 Cite this Article Read Full Article PDF


  1. Chakravarty T, Sharma R, Abramowitz Y, Kapadia S, Latib A, et al. Outcomes in Patients with Transcatheter Aortic Valve Replacement and Left Main Stenting: The TAVR-LM Registry. J Am Coll Cardiol. 2016; 67: 951-960. PubMed: https://pubmed.ncbi.nlm.nih.gov/26916485/
  2. Dallan LAP, Young A, Bansal E, Gage A, Alaiti MA, et al. Predicted coronary occlusion and Impella salvage during valve-in-valve transcatheter aortic valve replacement. Cardiovasc Revasc Med. 2020; 21: 28-32. PubMed: https://pubmed.ncbi.nlm.nih.gov/30975579/
  3. Rab T, Sheiban I, Louvard Y, Sawaya FJ, Zhang JJ, et al. Current Interventions for the Left Main Bifurcation. JACC Cardiovasc Interv. 2017; 10: 849-865. PubMed: https://pubmed.ncbi.nlm.nih.gov/28473107/
  4. Sawaya FJ, Lefevre T, Chevalier B, Garot P, Hovasse T, et al. Contemporary Approach to Coronary Bifurcation Lesion Treatment. JACC Cardiovasc Interv. 2016; 9: 1861-1878. PubMed: https://pubmed.ncbi.nlm.nih.gov/27659563/
  5. Riley RF, Henry TD, Mahmud E, Kirtane AJ, Brilakis ES, et al. SCAI position statement on optimal percutaneous coronary interventional therapy for complex coronary artery disease. Catheter Cardiovasc Interv. 2020; 96: 346-362. PubMed: https://pubmed.ncbi.nlm.nih.gov/32406991
  6. Frisoli TM, Guerrero M, O'Neill WW. Mechanical circulatory support with impella to facilitate percutaneous coronary intervention for post-TAVI bilateral coronary obstruction. Catheter Cardiovasc Interv. 2016; 88: E34-37. PubMed: https://pubmed.ncbi.nlm.nih.gov/26104838/
  7. Sharma A, Bertog S, Mbai M. Impella Placement Across Transcatheter Aortic Valves: A Potential for Device-Device Interaction. JACC Cardiovasc Interv. 2020; 13: 2574-2575. PubMed: https://pubmed.ncbi.nlm.nih.gov/32861634/


Figure 1

Figure 1

Figure 1

Figure 2

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?