Bibliographic Details
| Title: |
Role of Mechanical Circulatory Support in Complex High-Risk and Indicated Percutaneous Coronary Intervention: Current Indications, Device Options, and Potential Complications. |
| Authors: |
Di Muro, Francesca Maria, Bellino, Michele, Esposito, Luca, Attisano, Tiziana, Meucci, Francesco, Mattesini, Alessio, Galasso, Gennaro, Vecchione, Carmine, Di Mario, Carlo |
| Source: |
Journal of Clinical Medicine; Aug2024, Vol. 13 Issue 16, p4931, 16p |
| Subject Terms: |
ARTIFICIAL blood circulation, PERCUTANEOUS coronary intervention, TECHNOLOGICAL innovations, CLINICAL trials, MYOCARDIAL infarction |
| Abstract: |
Improved expertise and technological advancements have enabled the safe and effective performance of complex and high-risk-indicated percutaneous coronary intervention (CHIP) in patients previously considered inoperable or high-risk. Mechanical circulatory support (MCS) devices play a crucial role in stabilizing hemodynamics during percutaneous coronary intervention (PCI) -related ischemia, thereby reducing the risk of major adverse events and achieving a more complete revascularization. However, the use of MCS devices in protected PCI is not without risks, including peri-procedural myocardial infarction (MI), bleeding, and access-related complications. Despite numerous observational studies, there is a significant lack of randomized clinical trials comparing different MCS devices in various CHIP scenarios and evaluating their long-term safety and efficacy profiles. This review aims to summarize the current evidence regarding the benefits of MCS devices during CHIPs, offer a practical guide for selecting appropriate devices based on clinical scenarios, and highlight the unanswered questions that future trials need to address. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
