BACKGROUND: The optimal management of @entity1455 ( @entity1455 ) occurring in the presence of @entity1187 , severe @entity472 , and poor left ventricular function has not been established. Recently, the availability of new assistance devices and techniques has provided novel management opportunities. In particular, when compared with surgical approaches, percutaneous procedures have the advantage of allowing "staged" interventions, in which different steps are planned according to the @entity1 's evolving clinical conditions. CASE PRESENTATION: A @entity1 was admitted with an @entity1187 complicated by @entity1455 on a background of severe @entity472 , severe @entity1002 , and severe @entity1095 . We successfully treated her with emergency percutaneous coronary intervention (PCI) to left main stem followed by @entity2333 ( @entity2333 ). After @entity2333 , acute @entity337 developed with @entity2459 . In such a catastrophic setting, we successfully achieved immediate stabilization by implantation of an Impella @entity2723 device (Abiomed). After 1 day of Impella @entity2723 assistance, we successfully performed elective transfemoral aortic revalving through the same femoral access by facilitating device crossing and hemostasis with transradial balloon peripheral angioplasty and by practicing a novel technique we called "pump rewiring." CONCLUSION: This case example demonstrates how a tailored step-by-step strategy including PCI, @entity2333 , peripheral angioplasty, percutaneous ventricular assistance, and transcatheter aortic valve implantation (TAVI) allowed the successful treatment of a critical @entity1 with @entity1455 . Impella @entity2723 could be considered an effective bridge to TAVI in @entity1 developing @entity337 after @entity2333 , since maintaining arterial access can be achieved using the pump-rewiring technique.

Bail-Out Use of Impella @entity2723 as a Bridge to TAVI in a @entity1455 XXXX : The "Pump-Rewiring" Technique.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome', 'acute coronary syndromes'] @entity1095 :: ('MESH:D016491', 'Disease') :: ['calcific peripheral artery disease'] @entity337 :: ('MESH:D001022', 'Disease') :: ['aortic regurgitation'] @entity2333 :: ('MESH:D001018', 'Disease') :: ['balloon aortic valvuloplasty', 'BAV'] @entity472 :: ('MESH:D001024', 'Disease') :: ['aortic stenosis'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['CS', 'cardiogenic shock'] @entity2723 :: ('MESH:C566991', 'Disease') :: ['CP'] @entity1002 :: ('MESH:D018487', 'Disease') :: ['left ventricular dysfunction'] @entity2459 :: ('MESH:D003639', 'Disease') :: ['sudden hemodynamic collapse']
@entity1 :: (9606,Species) :: ['Patient']
