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Clinical expert consensus document on the use of percutaneous left ventricular assist support devices during complex high-risk indicated PCI
Ist Teil von
International journal of cardiology, 2019-10, Vol.293, p.84-90
Ort / Verlag
Elsevier B.V
Erscheinungsjahr
2019
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Percutaneous coronary intervention (PCI) is establishing as the last remaining revascularization option in an increasing number of patients affected by complex coronary artery disease not suitable for surgery. Over the past decade, percutaneous left ventricular assist device (pLVAD) has increasingly replaced intra-aortic balloon pump to provide hemodynamic support during such non-emergent complex high-risk indicated procedures (CHIP) averting the risk of circulatory collapse and of adverse events in long lasting and/or complicated procedures. This review article aims to report the key factors to define CHIP, to summarize the available pLVAD which have CE mark for temporary mechanical LV support and to discuss the rationale of their use in this subset of patients. Based on the expertise of the Italian Society of Interventional Cardiology working group, with the endorsement from Spanish and Portuguese Society of Interventional Cardiology working groups, it will provide several practical suggestions in regards to the use of pLVAD in different clinical CHIP scenarios.
•PCI may be the only option in an increasing number of patients with complex CAD.•Percutaneous LVAD may effectively support long lasting and/or complicated PCI.•pLVAD use should be assessed by a multiparametric/disciplinary evaluation.•This report aim to advise practical suggestions on pLVAD use during high-risk PCI.