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Percutaneous Coronary Intervention in Pregnancy: A Contemporary Review
Olayiwola Akeem Bolaji1, Yasemin Bahar2, Abdul Rasheed Bahar2
1From the Department of Medicine, Cardiology Division, Memorial Sloan Kettering Cancer Center, New York, NY.
Cardiology in Review
|May 16, 2025
Summary
Percutaneous coronary intervention (PCI) in pregnancy is feasible and safe for selected patients. This review highlights PCI as the preferred revascularization strategy, emphasizing maternal and fetal safety through modified techniques and careful medication choices.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Interventional Cardiology
Background:
- Cardiovascular disease is a leading cause of maternal mortality.
- Acute coronary syndrome is increasingly diagnosed in pregnant women.
- Pregnancy involves significant physiological cardiovascular adaptations.
Purpose of the Study:
- To review current understanding of percutaneous coronary intervention (PCI) in pregnancy.
- To examine pathophysiology, indications, technical considerations, and outcomes.
- To provide evidence-based recommendations for managing pregnant patients requiring coronary intervention.
Main Methods:
- Comprehensive literature synthesis of contemporary evidence.
- Focus on maternal and fetal safety considerations.
- Analysis of procedural modifications and medication selection.
Main Results:
- PCI is the preferred revascularization strategy for appropriate indications in pregnancy.
- Specific procedural modifications are necessary to minimize risks.
- A multidisciplinary approach is crucial for optimal management.
Conclusions:
- Percutaneous coronary intervention can be safely performed during pregnancy.
- Careful patient selection and tailored procedural techniques are essential.
- Further research is needed to optimize management strategies.
Keywords:
acute coronary syndromecoronary artery diseasepercutaneous coronary interventionpregnancyradiation safetyMore Related Videos
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