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Updated: Feb 12, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
The Role of Percutaneous Haemodynamic Support in High-risk Percutaneous Coronary Intervention and Cardiogenic Shock
Dagmar M Ouweneel1, Bimmer E Claessen1, Krischan D Sjauw1
1AMC Heartcenter, Academic Medical Center, Amsterdam, The Netherlands.
Insights
Percutaneous cardiac assist devices offer hemodynamic support but lack robust clinical benefit evidence beyond immediate improvement. Further clinical trials are crucial to assess their true impact on patient outcomes.
Area of Science:
- Cardiology
- Medical Devices
- Clinical Research
Background:
- Increasing use of percutaneous cardiac assist devices for cardiogenic shock and high-risk PCI.
- Limited evidence on clinical benefits beyond acute hemodynamic support.
Purpose of the Study:
- To review current experience and evidence for percutaneous cardiac assist devices.
- To highlight the need for clinical outcome evaluation.
Main Methods:
- Literature review of percutaneous cardiac assist devices.
- Analysis of existing clinical data and experience.
Main Results:
- Devices are used in complex patient populations.
- Evidence for long-term clinical benefit is scarce.
- Immediate hemodynamic improvement is the primary observed effect.
Conclusions:
- Percutaneous cardiac assist devices show promise but require more rigorous clinical testing.
- Evaluating true impact on clinical outcomes is essential before widespread adoption.
Abstract:
The experience and usage of percutaneous cardiac assist devices in cardiogenic shock as well as high-risk percutaneous coronary intervention have increased over the years. Nonetheless, there is still little evidence of clinical benefit of these devices other than immediate haemodynamic improvement. Despite the fact that these devices are used to treat a rather complex patient population, clinical testing remains important in order to evaluate their true impact on clinical outcome before being adopted into clinical practice. Therefore, this review shows an overview of the current experience and evidence of the available percutaneous cardiac assist devices.
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