Mechanical Circulatory Support for High-Risk Percutaneous Coronary Intervention

Document Type

Article

Publication Date

4-1-2024

Publication Title

Current cardiology reports

Abstract

PURPOSE OF REVIEW: This review will focus on the indications of mechanical circulatory support (MCS) for high-risk percutaneous coronary intervention (PCI) and then analyze in detail all MCS devices available to the operator, evaluating their mechanisms of action, pros and cons, contraindications, and clinical data supporting their use.

RECENT FINDINGS: Over the last decade, the interventional cardiology arena has witnessed an increase in the complexity profile of the patients and lesions treated in the catheterization laboratory. Patients with significant comorbidity burden, left ventricular dysfunction, impaired hemodynamics, and/or complex coronary anatomy often cannot tolerate extensive percutaneous revascularization. Therefore, a variety of MCS devices have been developed and adopted for high-risk PCI. Despite the variety of MCS available to date, a detailed characterization of the patient requiring MCS is still lacking. A precise selection of patients who can benefit from MCS support during high-risk PCI and the choice of the most appropriate MCS device in each case are imperative to provide extensive revascularization and improve patient outcomes. Several new devices are being tested in early feasibility studies and randomized clinical trials and the experience gained in this context will allow us to provide precise answers to these questions in the coming years.

Medical Subject Headings

Humans; Shock, Cardiogenic; Heart-Assist Devices; Percutaneous Coronary Intervention; Intra-Aortic Balloon Pumping; Ventricular Dysfunction, Left; Treatment Outcome

PubMed ID

38407792

ePublication

ePub ahead of print

Volume

26

Issue

4

First Page

233

Last Page

244

Find It @ Sladen

Share

COinS