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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Bibliographic Details
Published in:Heart failure reviews 2020-09, Vol.25 (5), p.833-846
Main Authors: Zuin, Marco, Rigatelli, Gianluca, Daggubati, Ramesh
Format: Article
Language:English
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
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Summary: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.
ISSN:1382-4147
1573-7322
DOI:10.1007/s10741-019-09862-6