The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention
Publication Title
US Cardiology Review
Document Type
Article
Publication Date
5-10-2020
Keywords
cards; cards publication; oregon; portland
Abstract
Abstract
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.
Area of Special Interest
Cardiovascular (Heart)
Specialty/Research Institute
Cardiology
