The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention
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 revascu...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2020-10-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articles/the-role-of-hemodynamic-support-in-high-risk |
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| _version_ | 1850256376140398592 |
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| author | Charles Simonton Craig Thompson Jason R Wollmuth D Lynn Morris Thom G Dahle |
| author_facet | Charles Simonton Craig Thompson Jason R Wollmuth D Lynn Morris Thom G Dahle |
| author_sort | Charles Simonton |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-891df186d4f14e1f954660e523ea855e |
| institution | OA Journals |
| issn | 1758-3896 1758-390X |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj-art-891df186d4f14e1f954660e523ea855e2025-08-20T01:56:39ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2020-10-011410.15420/usc.2020.18The Role of Hemodynamic Support in High-risk Percutaneous Coronary InterventionCharles Simonton0Craig Thompson1Jason R Wollmuth2D Lynn Morris3Thom G Dahle4PCICHUCK LLC, Charlotte, NCNYU Langone Health System, New York, NYProvidence Heart Institute, Portland, OREast Carolina Heart Institute Brody School of Medicine, Greenville, NCCentracare Heart and Vascular Center, St Cloud, MNPatients 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.https://www.uscjournal.com/articles/the-role-of-hemodynamic-support-in-high-risk |
| spellingShingle | Charles Simonton Craig Thompson Jason R Wollmuth D Lynn Morris Thom G Dahle The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention US Cardiology Review |
| title | The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention |
| title_full | The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention |
| title_fullStr | The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention |
| title_full_unstemmed | The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention |
| title_short | The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention |
| title_sort | role of hemodynamic support in high risk percutaneous coronary intervention |
| url | https://www.uscjournal.com/articles/the-role-of-hemodynamic-support-in-high-risk |
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