ECMO Support Complicated with Early Multiple Stents Thrombosis Post Primary PCI- Case Report-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Introduction: 1yr PCI+ECMO in the setting of cardiac-arrest and cardiogenic shock is challenging. Data has shown promising results in mortality reduction. Case presentation: 57y man admitted with NSTEMI. LVEF-35%. 6-hours later he developed LBBB and taken for primary PCI. CAG: proximal occlusion-LAD, Tight lesion-Big ramus, normal-LCX and CTO-RCA. PCI to LAD and ramus were done. After stent-deployment, he developed cardiac-arrest. CPR initiated, IABP inserted and TPM was placed, he revived after 1.5hours of CPR. LVEF 10%. So peripheral VA-ECMO was inserted for cardio respiratory support and we could be able to wean it off successfully after 5 days from deployment. He developed severe thrombocytopenia so, clopidogrel stopped & aspirin continued. After 36hours of ECMO removal, sudden clinicaldeterioration was observed with severe shock again. EF 15%. Re look Angio revealed: