The Interventional Cardiology Operating Unit of the Spaziani Hospital in Frosinone was the first centre in Italy to use the PICSO® CE-2020.
An operation on a patient just over 40 years old from Cervaro, carried out on the night between 20 and 21 June by Prof. Maurizio Menichelli and his medical-nursing team to resolve an anterior STEMI infarction, was perfectly successful through the use of the new medical device that prepares the heart for coronary angioplasty and optimizes the effect of reopening the closed coronary artery, responsible for myocardial infarction.
The man arrived in serious condition at the hospital and immediately underwent surgery to reopen the anterior descending artery. Once the presence of the flow in the coronary artery was guaranteed, the patient underwent PICSO® CE-2020 implantation, as mentioned, the first in Italy!
The medical device was placed in the coronary sinus (venous side) through the puncture of the right femoral vein, and left in place for 40 minutes until, according to the machine’s indications, the maximum result in terms of microcirculation efficiency was obtained for our specific patient.
The whole procedure was smooth and the man stayed awake the whole time. He was then transferred to the coronary unit in stable clinical condition, then, after a few days of hospitalization, he was discharged.
With Prof. Menichelli we go into the details of this intervention:
Prof. Menichelli, whatis PICSO® CE-2020?
It is a balloon that is placed in the coronary sinus (the venous part of the coronary circulation). This device, connected to a control console, intermittently inflates and deflates in synchrony with the patient’s cardiac activity, allowing the coronary vessels that make up the microcirculation to be reopened (during inflation) and the blood to be drained from the heart muscle with an aspiration effect (during deflation).
This mechanism, ultimately, allows to optimize the distribution of blood in the coronary tree and promotes the detoxification of the myocardium by draining the blood more vigorously.
Clinical studies have shown that the use of this device reduces the size of the infarcted area, i.e. the scar that remains on the heart after a heart attack, by almost 10% in patients who have had an anterior infarction, i.e. the occlusion of the main coronary artery: the anterior descendant.
We are really proud that our Interventional Cardiology Operating Unit at Spaziani Hospital in Frosinone was the first in Italy to use the PICSO® CE-2020.
