The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention

Authors

Charles Simonton
Craig Thompson
Jason R Wollmuth, Providence Heart and Vascular Institute, Portland, ORFollow
D Lynn Morris
Thom G. Dahle

Document Type

Article

Publication Date

5-10-2020

Publication Title

US Cardiology Review

Keywords

cards; cards publication; oregon; portland

Abstract

Abstract

Patients with advanced age, complex coronary anatomy, and multiple comorbidities are often unsuitable for surgical revascularization. In this setting, hemodynamic support devices are used as an adjunct to percutaneous coronary intervention to maintain hemodynamic stability and enable optimal revascularization. This article provides an overview of percutaneous hemodynamic support devices currently used in clinical practice for high-risk percutaneous coronary intervention. These include the intra-aortic balloon pump, centrifugal pumps (TandemHeart, venous arterial extracorporeal membrane oxygenation), and micro-axial Impella pump. The hemodynamic effects, clinical evidence supporting improved outcomes and recovery of heart function, and associated complications with these devices are highlighted, with a special focus on Impella pumps.

Clinical Institute

Cardiovascular (Heart)

Department

Cardiology

Recommended Citation

Simonton, Charles; Thompson, Craig; Wollmuth, Jason R; Morris, D Lynn; and Dahle, Thom G., "The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention" (2020). Articles, Abstracts, and Reports. 4637.
https://digitalcommons.providence.org/publications/4637