Dahdouh Ziad, Roule Vincent, Lognoné Thérèse, Sabatier Rémi, Grollier Gilles
Department of Cardiology, CHU de Caen, Caen, France.
Cardiovasc Revasc Med. 2012 Mar-Apr;13(2):142.e1-4. doi: 10.1016/j.carrev.2011.08.006. Epub 2011 Oct 21.
Mechanical ventricular assist support and especially Impella device that is implanted via femoral access are considered a cornerstone in the therapeutic arsenal of the management of cardiogenic shock. Indeed, the potent antithrombotic agents administered during acute coronary syndromes constitute potential bleeding risk factors. Transradial interventions are nowadays widely used in ST-elevation myocardial infarction patients. However, some operators feel uncomfortable with the transradial approach when facing cardiogenic shock. We report a case of transradial rescue percutaneous intervention for cardiogenic shock in a young man with support of an Impella device via femoral access.
机械心室辅助支持，尤其是经股动脉途径植入的Impella装置，被认为是心源性休克治疗手段中的基石。事实上，急性冠状动脉综合征期间使用的强效抗血栓药物构成了潜在的出血风险因素。如今，经桡动脉介入治疗在ST段抬高型心肌梗死患者中广泛应用。然而，一些术者在面对心源性休克时对经桡动脉途径感到不适应。我们报告一例在Impella装置经股动脉途径支持下，对一名年轻男性心源性休克患者进行经桡动脉挽救性经皮介入治疗的病例。
