PCI complications: Hemodynamic Support for Complex PCI: Difference between revisions

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{{CMG}}; '''Associate Editors-In-Chief:''' {{Anahita}}
{{CMG}}; '''Associate Editors-In-Chief:''' {{Anahita}}
===Overview===
===Overview===
===Pathophysiology===
Rapid [[hemodynamic|hemodynamic deterioration]] and death during [[PCI]] can occur due to [[hypotension]], [[decompensated heart failure]], [[shock]], or [[arrhythmias]].<ref name="pmid34895950">{{cite journal| author=Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM | display-authors=etal| title=2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=J Am Coll Cardiol | year= 2022 | volume= 79 | issue= 2 | pages= e21-e129 | pmid=34895950 | doi=10.1016/j.jacc.2021.09.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34895950  }} </ref><ref name="pmid20736470">{{cite journal| author=Perera D, Stables R, Thomas M, Booth J, Pitt M, Blackman D | display-authors=etal| title=Elective intra-aortic balloon counterpulsation during high-risk percutaneous coronary intervention: a randomized controlled trial. | journal=JAMA | year= 2010 | volume= 304 | issue= 8 | pages= 867-74 | pmid=20736470 | doi=10.1001/jama.2010.1190 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20736470  }} </ref><ref name="pmid22935569">{{cite journal| author=O'Neill WW, Kleiman NS, Moses J, Henriques JP, Dixon S, Massaro J | display-authors=etal| title=A prospective, randomized clinical trial of hemodynamic support with Impella 2.5 versus intra-aortic balloon pump in patients undergoing high-risk percutaneous coronary intervention: the PROTECT II study. | journal=Circulation | year= 2012 | volume= 126 | issue= 14 | pages= 1717-27 | pmid=22935569 | doi=10.1161/CIRCULATIONAHA.112.098194 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22935569  }} </ref>
===2021 ACA Revascularization Guideline===  
===2021 ACA Revascularization Guideline===  
{|class="wikitable"
{|class="wikitable"

Revision as of 09:36, 7 July 2022

Hemodynamic Support for Complex PC

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Anahita Deylamsalehi, M.D.[2]

Overview

Pathophysiology

Rapid hemodynamic deterioration and death during PCI can occur due to hypotension, decompensated heart failure, shock, or arrhythmias.[1][2][3]

2021 ACA Revascularization Guideline

Class 2b Recommendation, Level of Evidence: B-R [1]
Using an appropriate hemodynamic support device in the elective settings and among selected patients is reasonable to prevent hemodynamic compromise during PCI.

References

  1. ↑ 1.0 1.1 Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM; et al. (2022). "2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". J Am Coll Cardiol. 79 (2): e21–e129. doi:10.1016/j.jacc.2021.09.006. PMID 34895950 Check |pmid= value (help).
  2. ↑ Perera D, Stables R, Thomas M, Booth J, Pitt M, Blackman D; et al. (2010). "Elective intra-aortic balloon counterpulsation during high-risk percutaneous coronary intervention: a randomized controlled trial". JAMA. 304 (8): 867–74. doi:10.1001/jama.2010.1190. PMID 20736470.
  3. ↑ O'Neill WW, Kleiman NS, Moses J, Henriques JP, Dixon S, Massaro J; et al. (2012). "A prospective, randomized clinical trial of hemodynamic support with Impella 2.5 versus intra-aortic balloon pump in patients undergoing high-risk percutaneous coronary intervention: the PROTECT II study". Circulation. 126 (14): 1717–27. doi:10.1161/CIRCULATIONAHA.112.098194. PMID 22935569.
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