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  • Title: High-risk coronary intervention with a percutaneous ventricular assist device in the presence of an unstable left ventricular thrombus.
    Author: Kapur NK, Pan C, Krishnamurthy B.
    Journal: J Invasive Cardiol; 2010 Jul; 22(7):E138-40. PubMed ID: 20603517.
    Abstract:
    Left ventricular (LV) thrombus is one of the most common complications of myocardial infarction (MI). Contemporary devices for mechanical support during high-risk percutaneous coronary intervention (PCI) include intra-aortic balloon pumps (IABPs) or percutaneous left ventricular assist devices (pVADs). We describe the case of an elderly patient presenting with critical double-vessel disease, severely depressed LV function, and a large LV thrombus in the setting of a mechanical fall causing spinal cord compression. In this report, we describe the use of a TandemHeart pVAD during high-risk PCI in the presence of an unstable LV thrombus.
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