Balloon Aortic Valvuloplasty Followed by Impella®-Assisted Left Main Coronary Artery Percutaneous Coronary Intervention in Patients With Severe Aortic Stenosis as a Bridge to Transcatheter Aortic Valve Replacement

Management of concomitant coronary artery disease and aortic valve stenosis in the era of transcatheter aortic valve treatment

“…This approach can be used as a bridge to TAVI in patients with temporary TAVI contraindication. Small case series have shown the possibility of using Impella as an assistance during PBAV or PCI procedures in patients with severe aortic stenosis [48,49] .…”

Percutaneous transaxillary approach for balloon aortic valvuloplasty and complex percutaneous coronary intervention with Impella support

“…Managing complex coronary artery disease (CAD) in elderly patients with coexisting severe aortic stenosis and peripheral arterial disease can pose a significant challenge, particularly when complicated by acute coronary syndrome (ACS). Percutaneous coronary intervention (PCI) is often the preferred revascularization therapy in these situations, frequently accompanied by balloon aortic valvuloplasty (BAV) [ 1 , 2 ]. However, for patients with left main stenosis (LMS), poor left ventricular function, and multiple comorbidities, PCI carries a high risk and may require mechanical circulatory support, such as the Impella pump [ 3 ].…”