Part 2: High-Risk Heart Angioplasty with Support Devices | Dr. Haresh Mehta

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Published Jul 7, 2025

In Part 2 of the series, Dr. Haresh Mehta, Senior Interventional Cardiologist, focuses on post-PCI management using Impella support in complex, high-risk cases. He discusses real-time tracing to monitor ventricular uncoupling during PCI, and outlines optimal stenting strategies in elderly patients with left main to LAD disease.

Dr. Mehta explains decision-making around on-table Impella explantation versus extended ICU support, along with best practices for access site management using ProGlide pre-closure techniques. He also reviews key findings from the PROTECT trials, which showed a 29% reduction in MACE, improved ejection fraction, and better symptom control—particularly in patients with severely depressed EF.

???? Next: Final Session – Practical protocols and implementation strategies tailored to Indian clinical settings.

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