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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Autores principales:	Charles Simonton, Craig Thompson, Jason R Wollmuth, D Lynn Morris, Thom G Dahle
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/891df186d4f14e1f954660e523ea855e
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spelling	oai:doaj.org-article:891df186d4f14e1f954660e523ea855e2021-12-04T16:03:38ZThe Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention10.15420/usc.2020.181758-390X1758-3896https://doaj.org/article/891df186d4f14e1f954660e523ea855e2020-10-01T00:00:00Zhttps://www.uscjournal.com/articles/the-role-of-hemodynamic-support-in-high-riskhttps://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XPatients 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.Charles SimontonCraig ThompsonJason R WollmuthD Lynn MorrisThom G DahleRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 14, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Charles Simonton Craig Thompson Jason R Wollmuth D Lynn Morris Thom G Dahle The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention
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
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
title	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_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_sort	role of hemodynamic support in high-risk percutaneous coronary intervention
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/891df186d4f14e1f954660e523ea855e
work_keys_str_mv	AT charlessimonton theroleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT craigthompson theroleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT jasonrwollmuth theroleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT dlynnmorris theroleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT thomgdahle theroleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT charlessimonton roleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT craigthompson roleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT jasonrwollmuth roleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT dlynnmorris roleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention AT thomgdahle roleofhemodynamicsupportinhighriskpercutaneouscoronaryintervention
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The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention

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