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• W2058393487 abstract "Jose P.S. Henriques, MD, MBA, PhD, EditorView Large Image Figure ViewerDownload (PPT)For more than four decades, intra-aortic balloon counterpulsation has been the initial “go-to” percutaneous device utilized by cardiovascular surgeons and cardiologists for the treatment of cardiogenic shock and to “stabilize” patients with hemodynamic impairment due to myocardial and/or valve dysfunction. The CPS for the percutaneous cardiopulmonary bypass system was utilized briefly but was abandoned due to major systemic complications with any sustained use. A recent meta-analysis and two randomized trials in the setting of acute myocardial infarction and one in the setting of high-risk percutaneous coronary intervention have not revealed a clear benefit of routine usage of the intra-aortic balloon pump (IABP). Although further analyses are still being undertaken, it is clear that these results have put the routine usage of the IABP, and the role of mechanical circulatory support for that matter, in a different perspective. For approximately the last 10 years, the devices utilized for cardiac support in a variety of scenarios have been expanded to include left atrial to femoral artery bypass (TandemHeart, CardiacAssist, Inc., Pittsburgh, PA, USA) and an axial flow pump left ventricle to ascending aorta (Impella 2.5, Abiomed, Danvers, MA, USA). In addition, an extracorporeal membrane oxygenator has been used in a variety of circumstances as well. These devices provide better circulatory support and superior unloading of the left ventricle, and each has certain advantages and disadvantages. The purpose of this issue of Interventional Cardiology Clinics is to provide the reader with the current “state of the art” in percutaneous mechanical circulatory support describing the background, investigational data, and current concepts in this field as well as a perspective regarding the future of these devices. The authors have been selected because of their particular experience and expertise. The recent IABP story has revealed that the widespread implementation of newer devices needs to be supported by randomized clinical studies and sound evidence. Nevertheless, because of an unmet need, percutaneous mechanical circulatory support devices are finding their way into the clinical arena, and heralding a new era of hope for patients who present with extreme cardiovascular compromise." @default.
• W2058393487 created "2016-06-24" @default.
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• W2058393487 date "2013-07-01" @default.
• W2058393487 modified "2023-09-26" @default.
• W2058393487 title "Percutaneous Mechanical Support" @default.
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• W2058393487 doi "https://doi.org/10.1016/j.iccl.2013.05.001" @default.
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