Standardized pre-procedural clinical workup for protected percutaneous coronary intervention

Fadi Al-Rashid; Nicolas M Van Mieghem; Laurent Bonello; Jacopo Oreglia; Enrico Romagnoli

doi:10.1093/eurheartjsupp/suac061

Standardized pre-procedural clinical workup for protected percutaneous coronary intervention

Eur Heart J Suppl. 2022 Dec 8;24(Suppl J):J11-J16. doi: 10.1093/eurheartjsupp/suac061. eCollection 2022 Nov.

Authors

Fadi Al-Rashid¹, Nicolas M Van Mieghem², Laurent Bonello³, Jacopo Oreglia⁴, Enrico Romagnoli⁵

Affiliations

¹ Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, Medical Faculty, University Hospital Essen, Essen, Germany.
² Department of Cardiology, Erasmus University Medical Center, Thoraxcenter, Rotterdam, The Netherlands.
³ Department of Cardiology, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Aix-Marseille University, Marseille, France.
⁴ Department of Cardiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
⁵ Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Abstract

In addition to appropriate patient screening, pre-procedural preparation is essential to optimize both technical success and patient outcome for protected percutaneous coronary intervention (PCI). A critical component of optimization is the identification and preparation of a suitable femoral access site. Here, we describe several options for both imaging and image-guided access to optimize the approach.

Keywords: Comorbidities; Femoral access; Left ventricular function; Mechanical circulatory support; Protected PCI.