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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Percutaneous left ventricular support devices

Kunal Sarkar1, Annapoorna S Kini

  • 1Cardiac Catheterization Laboratory of the Cardiovascular Institute, Mount Sinai Hospital, One Gustave Levy Place, New York, NY, 10029 USA.

Cardiology Clinics
|December 8, 2009
PubMed

Insights

New percutaneous circulatory support devices offer feasible and safe options for high-risk procedures. These devices improve hemodynamic parameters in patients with cardiogenic shock and left ventricular dysfunction.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • High-risk percutaneous coronary intervention (PCI) and cardiogenic shock present significant clinical challenges.
  • New-generation percutaneous circulatory support devices are emerging for these complex scenarios.

Purpose of the Study:

  • To review available percutaneous circulatory support devices.
  • To discuss their technical aspects and clinical evidence.
  • To evaluate their utility in specific patient populations.

Main Methods:

  • Review of current literature including randomized trials, meta-analyses, and registries.
  • Discussion of technical considerations for device insertion and removal.
  • Analysis of hemodynamic and clinical outcomes.

Main Results:

  • Preliminary studies show feasibility, safety, and hemodynamic benefits of these devices.
  • Evidence supports their use in cardiogenic shock post-myocardial infarction.
  • Benefits are also noted in complex PCI with left ventricular dysfunction.

Conclusions:

  • Percutaneous circulatory support devices are valuable tools in interventional cardiology.
  • They offer improved outcomes for high-risk patients undergoing complex PCI and those in cardiogenic shock.

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