Research Article

pVAD-assisted left main DK-Crush Bifurcation PCI Post-ViV TAVR

Anshuman Das, Maria Isabel Camara Planek and Steve Attanasio*

Published: 04/16/2021 | Volume 6 - Issue 1 | Pages: 029-032


We describe successful percutaneous coronary intervention (PCI) of significantly diseased ostial left main (LM) and distal LM bifurcation (Medina 1,1,1) in a patient with a reduced left ventricular ejection fraction and a recent valve-in-valve balloon-expandable TAVR using the DK-Crush technique with the support of a percutaneous left ventricular assist device.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001114 Cite this Article


  1. Chakravarty T, Sharma R, Abramowitz Y, Kapadia S, Latib A, et al. Outcomes in Patients with Transcatheter Aortic Valve Replacement and Left Main Stenting: The TAVR-LM Registry. J Am Coll Cardiol. 2016; 67: 951-960. PubMed:
  2. Dallan LAP, Young A, Bansal E, Gage A, Alaiti MA, et al. Predicted coronary occlusion and Impella salvage during valve-in-valve transcatheter aortic valve replacement. Cardiovasc Revasc Med. 2020; 21: 28-32. PubMed:
  3. Rab T, Sheiban I, Louvard Y, Sawaya FJ, Zhang JJ, et al. Current Interventions for the Left Main Bifurcation. JACC Cardiovasc Interv. 2017; 10: 849-865. PubMed:
  4. Sawaya FJ, Lefevre T, Chevalier B, Garot P, Hovasse T, et al. Contemporary Approach to Coronary Bifurcation Lesion Treatment. JACC Cardiovasc Interv. 2016; 9: 1861-1878. PubMed:
  5. Riley RF, Henry TD, Mahmud E, Kirtane AJ, Brilakis ES, et al. SCAI position statement on optimal percutaneous coronary interventional therapy for complex coronary artery disease. Catheter Cardiovasc Interv. 2020; 96: 346-362. PubMed:
  6. Frisoli TM, Guerrero M, O’Neill WW. Mechanical circulatory support with impella to facilitate percutaneous coronary intervention for post-TAVI bilateral coronary obstruction. Catheter Cardiovasc Interv. 2016; 88: E34-37. PubMed:
  7. Sharma A, Bertog S, Mbai M. Impella Placement Across Transcatheter Aortic Valves: A Potential for Device-Device Interaction. JACC Cardiovasc Interv. 2020; 13: 2574-2575. PubMed: