Cardiac intensive care management of high-risk percutaneous coronary intervention using the venoarterial ECMO support
The emerging concept of high-risk percutaneous coronary intervention (HR-PCI) has required the adoption of a multidisciplinary team approach. Venoarterial ECMO (VA-ECMO) has been introduced as a temporary mechanical circulatory support (MCS) for HR-PCI patients in order to provide an adequate system...
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| Veröffentlicht in: | Heart failure reviews 2020-09, Vol.25 (5), p.833-846 |
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| creator | Zuin, Marco Rigatelli, Gianluca Daggubati, Ramesh |
| description | The emerging concept of high-risk percutaneous coronary intervention (HR-PCI) has required the adoption of a multidisciplinary team approach. Venoarterial ECMO (VA-ECMO) has been introduced as a temporary mechanical circulatory support (MCS) for HR-PCI patients in order to provide an adequate systemic perfusion during the procedure. Both patient’s complexity and technological evolutions have catalyzed the development of critical care cardiology; however, ECMO therapy faces several challenges. Indeed, the management of patients on ECMO remains complex; moreover, the lack of specific recommendation for HR-PCI patients further complicates the management of these patients. In this narrative review, we give a reappraisal for the management of HR-PCI patients supported with VA-ECMO according to the available data published in current literature. |
| doi_str_mv | 10.1007/s10741-019-09862-6 |
| format | Article |
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| subjects | Acute Coronary Syndrome - therapy Angioplasty Cardiology Critical Care - methods Extracorporeal Membrane Oxygenation - methods Humans Management Medicine Medicine & Public Health Percutaneous Coronary Intervention - methods Perfusion Stents |
| title | Cardiac intensive care management of high-risk percutaneous coronary intervention using the venoarterial ECMO support |
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