The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention

Autor: Charles Simonton, Craig Thompson, Jason R Wollmuth, D Lynn Morris, Thom G Dahle
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: US Cardiology Review, Vol 14, Iss , Pp - (2020)
Druh dokumentu: article
ISSN: 1758-390X
1758-3896
DOI: 10.15420/usc.2020.18
Popis: Patients with advanced age, complex coronary anatomy, and multiple comorbidities are often unsuitable for surgical revascularization. In this setting, hemodynamic support devices are used as an adjunct to percutaneous coronary intervention to maintain hemodynamic stability and enable optimal revascularization. This article provides an overview of percutaneous hemodynamic support devices currently used in clinical practice for high-risk percutaneous coronary intervention. These include the intra-aortic balloon pump, centrifugal pumps (TandemHeart, venous arterial extracorporeal membrane oxygenation), and micro-axial Impella pump. The hemodynamic effects, clinical evidence supporting improved outcomes and recovery of heart function, and associated complications with these devices are highlighted, with a special focus on Impella pumps.
Databáze: Directory of Open Access Journals