Abstract
Patients who require coronary revascularization and present with poor left ventricular function and complex coronary anatomy are at high risk for percutaneous coronary intervention (PCI) and coronary artery bypass grafting surgery. Some of these patients are poor surgical candidates because of previous cardiac surgery or significant comorbidities. The recent approval and availability of percutaneous left ventricular assist devices has created an opportunity for the highest risk patients. This article reviews currently available mechanical circulatory support systems and portable extracorporeal oxygenation, describing hemodynamic and physiologic rationales, indications, strategies, and available evidence for their use in high risk PCI.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 417-428 |
| Number of pages | 12 |
| Journal | Interventional Cardiology Clinics |
| Volume | 2 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 2013 |
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Keywords
- Coronary interventions
- High risk
- Percutaneous left ventricular assist devices
- Shock
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Usage of percutaneous left ventricular assist devices in clinical practice and high-risk percutaneous coronary intervention. / Pulido, Juan N.; Rihal, Charanjit S.
In: Interventional Cardiology Clinics, Vol. 2, No. 3, 07.2013, p. 417-428.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Usage of percutaneous left ventricular assist devices in clinical practice and high-risk percutaneous coronary intervention
AU - Pulido, Juan N.
AU - Rihal, Charanjit S.
PY - 2013/7
Y1 - 2013/7
N2 - Patients who require coronary revascularization and present with poor left ventricular function and complex coronary anatomy are at high risk for percutaneous coronary intervention (PCI) and coronary artery bypass grafting surgery. Some of these patients are poor surgical candidates because of previous cardiac surgery or significant comorbidities. The recent approval and availability of percutaneous left ventricular assist devices has created an opportunity for the highest risk patients. This article reviews currently available mechanical circulatory support systems and portable extracorporeal oxygenation, describing hemodynamic and physiologic rationales, indications, strategies, and available evidence for their use in high risk PCI.
AB - Patients who require coronary revascularization and present with poor left ventricular function and complex coronary anatomy are at high risk for percutaneous coronary intervention (PCI) and coronary artery bypass grafting surgery. Some of these patients are poor surgical candidates because of previous cardiac surgery or significant comorbidities. The recent approval and availability of percutaneous left ventricular assist devices has created an opportunity for the highest risk patients. This article reviews currently available mechanical circulatory support systems and portable extracorporeal oxygenation, describing hemodynamic and physiologic rationales, indications, strategies, and available evidence for their use in high risk PCI.
KW - Coronary interventions
KW - High risk
KW - Percutaneous left ventricular assist devices
KW - Shock
UR - http://www.scopus.com/inward/record.url?scp=84880009131&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880009131&partnerID=8YFLogxK
U2 - 10.1016/j.iccl.2013.04.002
DO - 10.1016/j.iccl.2013.04.002
M3 - Review article
AN - SCOPUS:84880009131
VL - 2
SP - 417
EP - 428
JO - Interventional Cardiology Clinics
JF - Interventional Cardiology Clinics
SN - 2211-7458
IS - 3
ER -