Mechanical Support Strategies for High-Risk Procedures in the Invasive Cardiac Catheterization Laboratory: A State-of-the-Art Review

Thanks to advancements in percutaneous cardiac interventions, an expanding patient population now qualifies for treatment through percutaneous endovascular procedures. High-risk interventions far exceed coronary interventions and include transcatheter aortic valve replacement, endovascular managemen...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of clinical medicine Vol. 12; no. 24; p. 7755
Main Authors:	Groeneveld, Niels T A, Swier, Carolien E L, Montero-Cabezas, Jose, Elzo Kraemer, Carlos V, Klok, Frederikus A, van den Brink, Floris S
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 01-12-2023
Subjects:	Ablation (Surgery) Angioplasty Artificial respiration Blood Cardiac arrest Cardiac catheterization Care and treatment Catheterization Circulation, Artificial Clinical medicine Coronary vessels Dissection Extracorporeal membrane oxygenation Heart Hemodynamics Intervention Intubation Ischemia Methods Mortality Patients Perioperative care Pulmonary arteries Pulmonary embolism Sepsis Surgery Tachycardia Transluminal angioplasty Veins & arteries Canada Netherlands United States > US mechanical circulatory support cardiogenic shock catheterization laboratory
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Thanks to advancements in percutaneous cardiac interventions, an expanding patient population now qualifies for treatment through percutaneous endovascular procedures. High-risk interventions far exceed coronary interventions and include transcatheter aortic valve replacement, endovascular management of acute pulmonary embolism and ventricular tachycardia ablation. Given the frequent impairment of ventricular function in these patients, frequently deteriorating during percutaneous interventions, it is hypothesized that mechanical ventricular support may improve periprocedural survival and subsequently patient outcome. In this narrative review, we aimed to provide the relevant evidence found for the clinical use of percutaneous mechanical circulatory support (pMCS). We searched the Pubmed database for articles related to pMCS and to pMCS and invasive cath lab procedures. The articles and their references were evaluated for relevance. We provide an overview of the clinically relevant evidence for intra-aortic balloon pump, Impella, TandemHeart and ECMO and their role as pMCS in high-risk percutaneous coronary intervention, transcatheter valvular procedures, ablations and high-risk pulmonary embolism. We found that the right choice of periprocedural pMCS could provide a solution for the hemodynamic challenges during these procedures. However, to enhance the understanding of the safety and effectiveness of pMCS devices in an often high-risk population, more randomized research is needed.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	2077-0383 2077-0383
DOI:	10.3390/jcm12247755