Related Experiment Video
Updated: Apr 28, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Efficacy and Safety of CorVad System in Coronary Intervention for Complex High-Risk and Indicated Patients
Guofeng Gao1,2,3, Bowen Li1,2,3, Hongwei Pan4
1State Key Laboratory of Cardiovascular Disease, Beijing, China.
Insights
The CorVad percutaneous ventricular assist system safely and effectively supports high-risk patients undergoing percutaneous coronary intervention (PCI). This novel approach improves left ventricular ejection fraction (LVEF) and shows comparable outcomes to coronary artery bypass grafting (CABG).
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) carry high risks for complex high-risk and indicated patients (CHIPs).
- Percutaneous ventricular assist systems offer a potential alternative for CHIPs during PCI.
Purpose of the Study:
- To evaluate the safety and efficacy of the CorVad percutaneous ventricular assist system in CHIPs undergoing PCI.
- To assess the impact of CorVad support on major adverse cardiovascular and cerebrovascular events (MACCE) and left ventricular ejection fraction (LVEF).
Main Methods:
- 118 CHIPs with LVEF ≤ 40% received CorVad support during elective PCI.
- The primary endpoint was MACCE at 30 days, with a performance goal of 22.5%.
- Outcomes were compared to historical controls who underwent CABG.
Main Results:
- The study met its primary endpoint, with a 30-day MACCE rate of 4.2% in the intention-to-treat cohort.
- CorVad system implantation was successful in all patients, with significant improvements in LVEF at 48 hours and 30 days post-PCI.
- No hemolysis was observed. MACCE rates at 30 and 90 days were comparable to propensity score-matched CABG historical controls.
Conclusions:
- The CorVad percutaneous ventricular assist system is a safe and effective option for CHIPs undergoing PCI.
- CorVad support demonstrates favorable hemodynamic effects and comparable clinical outcomes to CABG in this high-risk population.
Background:
Due to the heightened risks and complications associated with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in complex high-risk and indicated patients (CHIPs), percutaneous ventricular assist system during PCI might offer a novel alternative.
Aims:
We aimed to evaluate the efficacy and safety of the CorVad percutaneous ventricular assist system in CHIPs.
Methods:
One hundred and eighteen CHIPs with left ventricular ejection fraction (LVEF) ≤ 40% were enrolled for CorVad support during elective PCI. The primary endpoint was the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) including death, new myocardial infarction, stroke, and target vessel revascularization at 30 days. Performance goal (PG) was set at 22.5%. Additionally, patients underwent CABG in Fuwai Hospital with LVEF ≤ 40% were selected as historical controls.
Results:
In the intention to treat (ITT) cohort, there were five MACCE (4.2%, 95% CI 1.4%-9.6%) within 30 days, achieving the prespecified PG. The CorVad system was successfully implanted in all patients. Compared with baseline, the LVEF had a significant increase in 48 h (30.95 ± 4.84% vs. 35.96 ± 5.84%, p < 0.001) and 30 days after PCI (30.95 ± 4.84% vs. 39.78 ± 7.82%, p < 0.001). No patient had evidence of hemolysis after PCI. Compared with CABG historical controls, there were no significant differences in the incidence of MACCE at 30 days (after propensity score matching [PSM]: 3.8% vs. 1.3%, p = 0.341) and 90 days (after PSM: 3.8% vs. 1.3%, p = 0.307).
Conclusions:
The CorVad percutaneous ventricular assist system is safe and effective in assisting CHIPs-PCI.
Related Concept Videos
Coronary Artery Disease V: Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care
Acute Coronary Syndrome IV: Interprofessional Care
Cardiac Catheterization I: Pre-Procedure Overview
Coronary Artery Disease IV: Preventive Measures
Acute Coronary Syndrome III: Diagnostic Studies

