Part 3: High-Risk Heart Angioplasty with Support Devices | Dr. Haresh Mehta

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Published Jul 6, 2025

In the concluding session, Dr. Haresh Mehta, Senior Interventional Cardiologist, highlights how Impella-assisted PCI enables safer and more complete revascularization, especially in elderly and high-risk patients, including those with cardiogenic shock. He explains how mechanical circulatory support (MCS) not only allows treatment beyond culprit-only lesions but also improves renal perfusion during complex procedures.

Dr. Mehta references updated guidelines that now recommend MCS in shock as a Class IIa indication. He shares a remarkable case of an 87-year-old patient with severe aortic stenosis, acute coronary syndrome, and an ejection fraction of 25%—successfully managed with balloon aortic valvuloplasty, Impella support, PCI, and TAVI in a single sitting.

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