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Hemodynamic Support Devices for Complex Percutaneous Coronary Intervention

Basil Alkhatib1, Laura Wolfe1, Srihari S Naidu2

  • 1Division of Cardiology, Winthrop University Hospital, 120 Mineola Boulevard, Suite 500, Mineola NY 11501, USA.

Interventional Cardiology Clinics
|June 6, 2017
PubMed

Insights

High-risk percutaneous coronary intervention (PCI) uses hemodynamic support devices for complex cases. Guidelines recommend these devices to improve outcomes for high-risk patients undergoing PCI.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Medicine

Background:

  • High-risk percutaneous coronary intervention (PCI) is increasing.
  • These patients have complex clinical and anatomic factors.
  • They face high complication risks but may benefit most from complete revascularization.

Purpose of the Study:

  • Discuss patient populations benefiting from hemodynamic support during high-risk PCI.
  • Review available hemodynamic support devices and strategies.
  • Outline expected outcomes for this patient group.

Main Methods:

  • Review of trial data.
  • Analysis of consensus documents.
  • Evaluation of current guidelines.

Main Results:

  • Hemodynamic support is recommended for high-risk PCI.
  • Specific patient groups derive significant benefit.
  • Various devices and strategies are available.

Conclusions:

  • Hemodynamic support is crucial for selected high-risk PCI patients.
  • Choosing the right device and strategy impacts outcomes.
  • Further research may refine optimal use.

Keywords:
Complex coronary interventionHigh riskPCISupport devicesVentricular assist devices

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