Bibliographic Details
| Title: |
Mechanical circulatory support devices for elective percutaneous coronary interventions: novel insights from the Japanese nationwide J-PCI registry. |
| Authors: |
Takashi Muramatsu, Taku Inohara, Shun Kohsaka, Kyohei Yamaji, Hideki Ishii, Toshiro Shinke, Takuo Toriya, Yu Yoshiki, Yukio Ozaki, Hirohiko Ando, Tetsuya Amano, Masato Nakamura, Yuji Ikari |
| Source: |
European Heart Journal Open; Jul2022, Vol. 2 Issue 4, p1-10, 10p |
| Subject Terms: |
PERCUTANEOUS coronary intervention, EXTRACORPOREAL membrane oxygenation, HEART failure, CORONARY artery disease, CARDIOGENIC shock |
| Abstract: |
Aims We examined in-hospital outcomes of patients that required mechanical circulatory support (MCS), such as intra-aortic balloon pumping (IABP), Impella®, or veno-arterial extracorporeal membrane oxygenation (VA-ECMO), for elective percutaneous coronary interventions (PCIs). Methods and results The J-PCI is a prospective Japanese nationwide multicentre registry sponsored by the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) and designed to collect clinical variables and in-hospital outcome data on consecutive patients undergoing PCI. Of the 253 228 patients registered between January 2018 and December 2018, 1627 patients (0.6%) undergoing elective PCI under MCS at 551 sites were analyzed. The mean age of the patients was 74 years, and 25.2% of the patients were females. Multivessel disease and left main disease were observed in 59.0% and 19.7% of the patients, respectively. Majority of patients were treated with IABP alone (86.2%), followed by IABP plus VA-ECMO (6.0%) and Impella alone (3.9%). In-hospital mortality was reported in 134 patients (8.2%). Cardiac death was more common than non-cardiac death (6.8% vs. 1.5%). About 34.6% of the patients receiving VA-ECMO died during hospitalization, whereas 7.2% and 5.3% of patients receiving Impella and IABP died, respectively (P<0.01). The proportion of patients with VA-ECMO or Impella who had major bleeding requiring blood transfusion was higher than that of patients with IABP (14.1% vs. 13.0% vs. 2.8%). Conclusion In the setting of elective PCI, in-hospital mortality of patients requiring MCS was considerably high. VA-ECMO or Impella was associated with a higher risk of major bleeding than IABP. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
