Percutaneous Mechanical Circulatory Support Devices for High-Risk Percutaneous Coronary Intervention

Ischemic Heart Disease (D Mukherjee, Section Editor)
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  1. Topical Collection on Ischemic Heart Disease

Abstract

Purpose of Review

Percutaneous mechanical circulatory support devices (PMCSD) consist of the intra-aortic balloon pump (IABP), Impella (Abiomed Inc., Danvers, Massachusetts), Tandem Heart (Cardiac Assist, Inc., Pittsburgh, Pennsylvania), or extracorporeal membranous oxygenation (ECMO). They augment cardiac output, cardiac index, and cardiac power which allow the operator to mitigate hemodynamic perturbations during high-risk percutaneous coronary intervention (HR-PCI). This review discusses PMCSD and their contemporary literature.

Recent Findings

Recent literature has substantiated the hemodynamic benefits of PMCSD in HR-PCI and cardiogenic shock, but no mortality benefit was found.

Summary

As stent technology improves, PCI is expanding into high-risk cases in which PMCSD provide hemodynamic support allowing safe and complete revascularization.

Keywords

Stent Mechanical circulatory support device Intra-aortic balloon pump Impella Cardiogenic shock 

Notes

Compliance with Ethical Standards

Conflict of Interest

Subrata Kar declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018
corrected publication February/2018

Authors and Affiliations

  1. 1.Division of Cardiovascular MedicineTexas Tech University Health Sciences Center at El Paso, Paul L. Foster School of MedicineEl PasoUSA

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