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Review
. 2020 Sep;25(5):833-846.
doi: 10.1007/s10741-019-09862-6.

Cardiac intensive care management of high-risk percutaneous coronary intervention using the venoarterial ECMO support

Marco Zuin  1 , Gianluca Rigatelli  2 , Ramesh Daggubati  3
Affiliations
Review

Cardiac intensive care management of high-risk percutaneous coronary intervention using the venoarterial ECMO support

Marco Zuin et al. Heart Fail Rev. 2020 Sep.

Abstract

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.

Keywords: Critical care; Hemodynamic monitoring; High-risk PCI; Intensive care unit; Mechanical circulatory support; Shock; VA-ECMO.

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References

    1. Atkinson TM, Ohman EM, O’Neill WW, Rab T, Cigarroa JE, Interventional Scientific Council of the American College of Cardiology (2016) A practical approach to mechanical circulatory support in patients undergoing percutaneous coronary intervention: An interventional perspective. JACC Cardiovasc Interv 9:871–883 - PubMed
    1. Agrawal H, Aggarwal K (2016) Mechanical circulatory support in percutaneous coronary interventions: expanding the possibilities. J Invasive Cardiol 28:243–245 - PubMed
    1. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Judd SE, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Mackey RH, Magid DJ, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER 3rd, Moy CS, Mussolino ME, Neumar RW, Nichol G, Pandey DK, Paynter NP, Reeves MJ, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Wong ND, Woo D, Turner MB, American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2014) Heart disease and stroke statistics–2014 update: a report from the American Heart Association. Circulation 129:e28–e292 - PubMed
    1. Rihal CS, Naidu SS, Givertz MM, Szeto WY, Burke JA, Kapur NK, Kern M, Garratt KN, Goldstein JA, Dimas V, Tu T, Society for Cardiovascular Angiography and Interventions (SCAI); Heart Failure Society of America (HFSA); Society for Thoracic Surgeons (STS); American Heart Association (AHA); American College of Cardiology (ACC) (2015) 2015 SCAI/ACC/HFSA/STS Clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care (Endorsed by the American Heart Association, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention). J Card Fail 21:499–518 - PubMed
    1. Craner RC, Carvajal T, Villablanca PA, Jahanyar J, Yang EH, Ramakrishna H (2018) The increasing importance of percutaneous mechanical circulatory support in high-risk transcatheter coronary interventions: an evidence-based analysis. J Cardiothorac Vasc Anesth 32:1507–1524 - PubMed

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