# Complete percutaneous coronary revascularization: An elegant solution to left ventricular dysfunction caused by severe coronary artery disease

## TL;DR

This paper discusses how Impella-assisted complex PCI can successfully treat severe coronary artery disease in high-risk patients.

## Contribution

The study highlights the effectiveness of Impella-assisted PCI in improving outcomes for surgically turndown patients.

## Key findings

- Impella-assisted PCI achieves high technical success in complex cases.
- It improves quality of life and angina scores in high-risk patients.
- There is potential improvement in left ventricular ejection fraction.

## Abstract

With increased complexity in both medical comorbidities and coronary anatomy, the proportion of surgically turndown patients and high‐risk PCI will continue to rise. Impella‐assisted complex PCI can be performed with high technical success and can improve quality of life, angina score, and potentially left ventricular ejection fraction.

Coronary angiogram pre‐ and post‐ protected percutaneous coronary intervention in a surgical turndown with a multivessel coronary artery disease.