Hemodynamic Support Devices for Complex Percutaneous Coronary Intervention

Basil Alkhatib; Laura Wolfe; Srihari S Naidu

doi:10.1016/j.iccl.2015.12.004

Hemodynamic Support Devices for Complex Percutaneous Coronary Intervention

Interv Cardiol Clin. 2016 Apr;5(2):187-200. doi: 10.1016/j.iccl.2015.12.004. Epub 2016 Mar 22.

Authors

Basil Alkhatib¹, Laura Wolfe¹, Srihari S Naidu²

Affiliations

¹ Division of Cardiology, Winthrop University Hospital, 120 Mineola Boulevard, Suite 500, Mineola NY 11501, USA.
² Cardiac Catheterization Laboratory, Division of Cardiology, Winthrop University Hospital, 120 Mineola Boulevard, Suite 500, Mineola, NY 11501, USA. Electronic address: SSNaidu@Winthrop.org.

PMID: 28582203
DOI: 10.1016/j.iccl.2015.12.004

Abstract

High-risk percutaneous coronary intervention (PCI) encompasses a growing portion of total PCIs performed and typically includes patients with high-risk clinical and anatomic characteristics. Such patients may represent not only a high-risk group for complications but also a group who may derive the most benefit from complete revascularization. Several hemodynamic support devices are available. Trial data, consensus documents, and guidelines currently recommend high-risk PCI aided by hemodynamic support devices, and this article discusses the patient populations who would benefit from such an approach, the available devices and strategies, and expected outcomes.

Keywords: Complex coronary intervention; High risk; PCI; Support devices; Ventricular assist devices.

Publication types

Review

MeSH terms

Coronary Artery Disease / therapy*
Heart-Assist Devices*
Hemodynamics
Humans
Percutaneous Coronary Intervention* / instrumentation
Percutaneous Coronary Intervention* / methods
Risk Assessment