Complex PCI Involving Prior CABG and Comorbidities

Perwaiz Meraj, MD, FACC, FSCAI of Northwell Health System joins George Vetrovec, MD, MACC, MSCAI to discuss a complex coronary intervention of a 77-year-old woman with stage 4 CKD, prior CABG, hypertension, hyperlipidemia, diabetes, who presented with angina and NSTEMI with an ejection fraction of 40%. The team at Northwell consulted with cardiac surgeons and the heart team, and determined that this patient was too high risk for another bypass surgery. Instead, the team proceeded with a Protected PCI procedure with hemodynamic support from the Impella CP® heart pump. “In our experience, you cannot perform this PCI safely without hemodynamic support,” said Dr. Meraj. Tune in to learn more about this complex case.