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- Subrata Kar.
- Division of Cardiovascular Medicine, Texas Tech University Health Sciences Center at El Paso, Paul L. Foster School of Medicine, 4800 Alberta Ave, El Paso, TX, 79905, USA. skar762@aim.com.
- Curr Cardiol Rep. 2018 Jan 19; 20 (1): 2.
Purpose Of ReviewPercutaneous mechanical circulatory support devices (PMCSD) consist of the intra-aortic balloon pump (IABP), Impella (Abiomed Inc., Danvers, Massachusetts), Tandem Heart (Cardiac Assist, Inc., Pittsburgh, Pennsylvania), or extracorporeal membranous oxygenation (ECMO). They augment cardiac output, cardiac index, and cardiac power which allow the operator to mitigate hemodynamic perturbations during high-risk percutaneous coronary intervention (HR-PCI). This review discusses PMCSD and their contemporary literature.Recent FindingsRecent literature has substantiated the hemodynamic benefits of PMCSD in HR-PCI and cardiogenic shock, but no mortality benefit was found. As stent technology improves, PCI is expanding into high-risk cases in which PMCSD provide hemodynamic support allowing safe and complete revascularization.
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