Successful High-Risk PCI in Complex STEMI Case — Powered by Impella® CP with SmartAssist®, at Hamad Medical Corporation, Qatar, Abiomed
A 79-year-old male with multiple comorbidities—including hypertension, chronic kidney disease on dialysis, HFrEF, CLL, and a history of malignancy—presented with late anterior STEMI and hypertensive emergency.
Despite the severity and complexity of the case, the procedure was completed with the support of Impella® CP with SmartAssist®, which maintained continuous hemodynamic stability throughout the intervention.
Procedure Overview:
– PCI to left main and distal LAD with overlapping Promus Elite DES and NC balloon post-dilation
– Additional DES placed in the distal LAD
– POBA performed on ostial-proximal LCx with excellent angiographic outcome
Result:
TIMI III flow achieved with no complications. The patient was discharged on optimized medical therapy.
This case highlights the critical role of Impella® CP with SmartAssist® in enabling safe and effective revascularization for high-risk patients who may not otherwise be candidates for intervention.
Special thanks to our team leader, Alain Atallah, and Hamad Medical Corporation for their trust and collaboration.
