Journal «Angiology and Vascular Surgery» • 

2013 • VOLUME 19 • №1

Transcutaneous coronary intervention accompanied by biventricular circulatory support and combined with extracorporeal membranous oxygenation

Ganyukov V.I., Popov V.A., Shukevich D.L., Evtushenko S.A., Khaes B.L.

Laboratory of Interventional Methods of Diagnosis and Treatment Scientific Research, Institute of Complex Problems of Car- diovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo, Russia

In a multiple-vessel lesion of the coronary bed, pronounced accompanying pathology, low ejection fraction of the left ventricle, obesity, previously performed operation of coronary aortic bypass grafting may be causes of refusal from revascularization by means of coronary bypass grafting. A transcutaneous coronary intervention (TCI) in this patient cohort is also associated with the risk of an unfavourable outcome in case of a technically complicated procedure and a large volume of the myocardium supplied with blood by the target arteries. Haemo- dynamic support of such high-risk TCI by means of intra-aortic balloon contrapulsation or a left-ventricle assist device is associated with a series of shortcomings which are removed by means of a biventricular bypass used in a combination with extracorporeal membranous oxygenation. This article deals with a case report of successful stenting of the unprotected trunk of the left coronary artery and the right coronary artery in the conditions of a mechanical biventricular bypass.

KEY WORDS: transcutaneous coronary intervention, biventricular bypass.

P. 141

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