Use of Mechanical Circulatory Support in Complex High-risk Percutaneous Coronary Intervention: A Review of Current Evidence-Reference-Cited by-同舟云学术

Use of Mechanical Circulatory Support in Complex High-risk Percutaneous Coronary Intervention: A Review of Current Evidence

Published:2023-10-31 Issue: Volume:2 Page:
ISSN:2754-0650
Container-title:Journal of Asian Pacific Society of Cardiology
language:en
Short-container-title:J Asian Pac Soc Cardiol

Author:

Sung Jonathan Gabriel¹^ORCID,Lam Ho¹^ORCID,Chui Ka-Lung²,Wong Anthony Yiu-Tung³^ORCID,Yap Jonathan⁴^ORCID,Lee Zhen-Vin⁵^ORCID,Lo Sidney TH⁶^ORCID,Kochar Ajar⁷^ORCID,Liew Houng-Bang⁸^ORCID,Jensen Christoph Julian⁹^ORCID,Karthikesan Dharmaraj¹⁰^ORCID,Tan Jack Wei-Chieh⁴^ORCID,Yam Ping-Wa¹,Yeo Khung Keong⁴^ORCID,Park Duk-Woo¹¹^ORCID,Eeckhout Eric¹²^ORCID

Affiliation:

1. Department of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong, China

2. Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong, China

3. Department of Medicine, University of Hong Kong, Hong Kong, China

4. Department of Cardiology, National Heart Centre Singapore, Singapore

5. Cardiology Unit, Department of Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia

6. Department of Cardiology, Liverpool Hospital, Sydney, Australia

7. Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, US

8. Department of Cardiology, Queen Elizabeth Hospital II, Kota Kinabalu, Malaysia

9. B Braun Ambulantes Herzzentrum Kassel, Kassel, Germany; Department of Cardiology and Pulmonology, University Medical Center Göttingen, Göttingen, Germany

10. Department of Cardiology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia

11. Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

12. Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

Abstract

With advances in devices and techniques of percutaneous coronary intervention (PCI), interventional cardiologists are managing patients with coronary artery disease of increasing complexity. For patients with prohibitive operative risk or who refuse bypass surgery, PCI may provide a reasonable alternative. Procedural haemodynamic stress often poses a significant challenge and is poorly tolerated in patients with reduced myocardial reserve, such as those with advanced heart failure or extreme frailty. The emergence of new mechanical circulatory support (MCS) devices has made PCI a more viable option for these high-risk patients. In this article, the authors review the existing evidence on the use of MCS in non-emergency complex and high-risk PCI, the optimal timing of initiating MCS and barriers to MCS use.

Publisher

Radcliffe Media Media Ltd

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