Avoiding hemodynamic collapse during high-risk percutaneous coronary intervention: Advanced hemodynamics of impella support
Recommended Citation
Verma S, Burkhoff D, O'Neill WW. Avoiding hemodynamic collapse during high-risk percutaneous coronary intervention: Advanced hemodynamics of impella support. Catheter Cardiovasc Interv.
Document Type
Article
Publication Date
3-1-2017
Publication Title
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Abstract
The rate of performing primary percutaneous coronary intervention in patients with complex coronary artery disease is increasing. The use of percutaneous mechanical circulatory support devices provides critical periprocedural hemodynamic support. Mechanical support has increased the safety and efficacy of interventional procedures in this high-risk patient population. Predicting patient response to the selected intervention can be clinically challenging. Here we demonstrate a case where complete hemodynamic collapse during PCI was avoided by mechanical support provided by the Impella device. Further, we employ a comprehensive cardiovascular model to predict ventricular function and patient hemodynamics in response to the procedure. New computational tools may help interventionists visualize, understand, and predict the multifaceted hemodynamic aspects of these high risk procedures in individual patients. © 2016 Wiley Periodicals, Inc.
Medical Subject Headings
Aged, 80 and over; Electrocardiography; Equipment Design; Female; Heart-Assist Devices; Hemodynamics; Humans; Intraoperative Complications; Non-ST Elevated Myocardial Infarction; Percutaneous Coronary Intervention; Shock
PubMed ID
27658747
Volume
89
Issue
4
First Page
672
Last Page
675
