Mechanical Circulatory Support in High-Risk Percutaneous Coronary Intervention

Methodist Debakey Cardiovasc J. 2018 Jan-Mar;14(1):23-31. doi: 10.14797/mdcj-14-1-23.

Abstract

Due to advancing age and increasing comorbidities, the current population has a higher incidence of complex coronary artery disease, often without surgical options for revascularization. In this setting, hemodynamic support devices are an important adjunct in the interventionist's toolbox as they allow for a safer, more effective procedure. The following paper reviews the indications of various available mechanical support devices, highlights their clinical data and technical parameters, and offers a practical approach towards appropriate patient and device selection.

Keywords: cardiogenic shock; coronary artery disease; high-risk; mechanical circulatory support; percutaneous coronary intervention; stent.

Publication types

  • Review

MeSH terms

  • Clinical Decision-Making
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Heart-Assist Devices*
  • Hemodynamics*
  • Humans
  • Myocardial Infarction / etiology
  • Myocardial Infarction / mortality
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / therapy*
  • Patient Selection
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / mortality
  • Prosthesis Design
  • Recovery of Function
  • Risk Assessment
  • Risk Factors
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / mortality
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome
  • Ventricular Function*