Complex interventions in the failing heart

被引:0
作者
Bath, Anandbir S. [1 ]
Raja, Joel [2 ]
Maturana, Miguel A. [2 ]
Khouzam, Rami N. [1 ]
机构
[1] Univ Tennessee, Div Cardiovasc Dis, Hlth Sci Ctr, Memphis, TN 38163 USA
[2] Univ Tennessee, Dept Internal Med, Hlth Sci Ctr, Memphis, TN 38163 USA
关键词
heart failure; mechanical circulatory support; percutaneous interventions; revascularization; transplantation; valvular heart disease; EXTRACORPOREAL MEMBRANE-OXYGENATION; FUNCTIONAL MITRAL REGURGITATION; AORTIC-VALVE-REPLACEMENT; ASSOCIATION TASK-FORCE; BYPASS-SURGERY; TRICUSPID REGURGITATION; MYOCARDIAL-INFARCTION; VASCULAR-DISEASE; PARACHUTE DEVICE; 1-YEAR OUTCOMES;
D O I
10.1097/MOT.0000000000000877
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Purpose of review Heart failure is a complex clinical syndrome with a substantial disease burden. We aim to review the interventional aspects of management of advanced heart failure, focusing on the role of management of coronary artery disease, valvular heart disease, and mechanical circulatory support. Recent findings The patients with coronary artery disease and heart failure requiring revascularization are at higher risk than the rest of the general population. Coronary artery bypass grafting or percutaneous intervention can be used depending on varied patient characteristics and coronary anatomy. Transcatheter aortic valve implantation, Mitraclip and transcatheter ventricular restoration help in tackling the valvular and left ventricular remodeling concerns often seen in this patient population. Temporary hemodynamic circulatory support helps stabilizing patients in cardiogenic shock while long-term support can help bridge them to more definitive therapies. The management strategies in this disease state are ever evolving with robust evidence coming in support of interventional therapies whenever deemed appropriate. It is the multidisciplinary patient-centered approach, which yields maximum benefit out of these complex interventions.
引用
收藏
页码:267 / 272
页数:6
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