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- W4283800425 abstract "Percutaneous coronary intervention (PCI) is a mainstay of treatment for patients with coronary artery disease, both in the acute or in chronic settings. A growing number of high-risk PCIs, which encompasses patients with complex coronary artery disease, severe left ventricular dysfunction, a number of comorbidities or frailty (being frequently unsuitable for CABG) are performed nowadays, thanks to the progressive development of interventional techniques and devices in recent years. Thus, more complex lesions are currently treated (eg: calcified, complex bifurcations, chronic total occlusions, more diffuse disease…), clearly increasing the risk of procedures. Besides, “aggressive” techniques such as atherectomy, repetitive and prolonged balloon inflations, complex stenting and high contrast load are often needed to achieve an optimal result. The cumulative ischemia that may result from these PCI techniques may in turn have the consequence of intraprocedural hypotension leading to reduced coronary perfusion and an additional reduction in cardiac output [ [1] Ameloot K. Bastos M. Daemen J. et al. New-generation mechanical circulatory support during high-risk PCI: a cross-sectional analysis. EuroIntervention. 2019; 15: 427-433 Crossref PubMed Scopus (18) Google Scholar ]. Comparison of a pulsatile and a continuous flow left ventricular assist device in high-risk PCIInternational Journal of CardiologyVol. 360PreviewMechanical circulatory support devices are able to generate additional cardiac output or maintain sufficient circulation during high-risk PCI. We prospectively compared the hemodynamic and clinical performance of the new iVAC2L® device with the Impella 2.5® device during high-risk PCI. Full-Text PDF" @default.
- W4283800425 created "2022-07-05" @default.
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- W4283800425 date "2022-11-01" @default.
- W4283800425 modified "2023-10-06" @default.
- W4283800425 title "Percutaneous circulatory support in high-risk PCI: Pulsatile or continuous flow devices?" @default.
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- W4283800425 doi "https://doi.org/10.1016/j.ijcard.2022.06.068" @default.
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