Role of Mechanical Circulatory Support in Complex High-Risk and Indicated Percutaneous Coronary Intervention: Current Indications, Device Options, and Potential Complications

被引：3

作者：

Di Muro, Francesca Maria ^{[1
]}

Bellino, Michele ^{[2
]}

Esposito, Luca ^{[3
]}

Attisano, Tiziana ^{[2
]}

Meucci, Francesco ^{[4
]}

Mattesini, Alessio ^{[4
]}

Galasso, Gennaro ^{[2
]}

Vecchione, Carmine ^{[2
,5
]}

Di Mario, Carlo ^{[4
]}

机构：

[1] Univ Florence, Careggi Univ Hosp, Sch Human Hlth Sci, Dept Expt & Clin Med, I-50134 Florence, Italy

[2] Univ Salerno, Dept Med Surg & Dent, I-84084 Baronissi, Italy

[3] Univ Federico II, Dept Adv Biomed Sci, I-80138 Naples, Italy

[4] Careggi Univ Hosp, Cardiothoracovasc Dept, Div Struct Intervent Cardiol, I-50134 Florence, Italy

[5] IRCCS Neuromed, Vasc Pathophysiol Unit, I-86077 Pozzilli, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 16期

关键词：

mechanical circulatory support; CHIP; PCI; INTRAAORTIC BALLOON PUMP; VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL MEMBRANE-OXYGENATION; EXPERT CONSENSUS DOCUMENT; INTRAVASCULAR LITHOTRIPSY; HEMODYNAMIC SUPPORT; IMPELLA; 2.5; OUTCOMES; MANAGEMENT; TRIAL;

D O I：

10.3390/jcm13164931

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：16

共 88 条

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