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Impella support for chronic total occlusions angioplasty: A good start

Jorge A Belardi1, Pablo Lamelas1,2

  • 1Department of Interventional Cardiology and Endovascular Therapeutics, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 17, 2019
PubMed

Insights

Percutaneous ventricular support shows promising technical and procedural success in chronic total occlusion angioplasty for complex patients. Further research is encouraged for this high-risk group.

Area of Science:

  • Cardiovascular Interventions
  • Interventional Cardiology
  • Vascular Access

Background:

  • Limited data exists on percutaneous ventricular support (PVS) during chronic total occlusion (CTO) angioplasty.
  • CTO angioplasty patients often present with significant comorbidities, increasing procedural risk.

Discussion:

  • This study represents the largest report on PVS in CTO angioplasty.
  • PVS demonstrated promising technical and procedural success rates in this challenging patient cohort.
  • The findings suggest PVS can be a viable option for high-risk CTO interventions.

Key Insights:

  • Percutaneous ventricular support is feasible and effective in complex CTO angioplasty.
  • Successful outcomes were observed in a highly comorbid patient population.
  • The study highlights the importance of experienced centers and high procedural volumes.

Outlook:

  • Encourages further research into PVS for CTO angioplasty.
  • Suggests wider adoption in experienced, high-volume centers.
  • Potential to improve outcomes for patients undergoing complex coronary interventions.

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