Clinical expert consensus document on the use of percutaneous left ventricular assist support devices during complex high-risk indicated PCI: Italian Society of Interventional Cardiology Working Group Endorsed by Spanish and Portuguese Interventional Cardiology Societies

Alaide Chieffo, Francesco Burzotta, Federico Pappalardo, Carlo Briguori, Roberto Garbo, Giulia Masiero, Elisa Nicolini, Flavio Ribichini, Carlo Trani, Belén Cid Álvarez, Oriol Rodríguez Leor, Raúl Moreno, Ricardo Santos, António Fiarresga, João Brum Silveira, Armando Pérez de Prado, Giuseppe Musumeci, Giovanni Esposito, Giuseppe Tarantini

Research output: Contribution to journalArticle

Abstract

Percutaneous coronary intervention (PCI) is establishing as the last remaining revascularization option in an increasing number of patients affected by complex coronary artery disease not suitable for surgery. Over the past decade, percutaneous left ventricular assist device (pLVAD) has increasingly replaced intra-aortic balloon pump to provide hemodynamic support during such non-emergent complex high-risk indicated procedures (CHIP) averting the risk of circulatory collapse and of adverse events in long lasting and/or complicated procedures. This review article aims to report the key factors to define CHIP, to summarize the available pLVAD which have CE mark for temporary mechanical LV support and to discuss the rationale of their use in this subset of patients. Based on the expertise of the Italian Society of Interventional Cardiology working group, with the endorsement from Spanish and Portuguese Society of Interventional Cardiology working groups, it will provide several practical suggestions in regards to the use of pLVAD in different clinical CHIP scenarios.

Original languageEnglish
Pages (from-to)84-90
Number of pages7
JournalInternational Journal of Cardiology
Volume293
DOIs
Publication statusPublished - Oct 15 2019

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Chieffo, A., Burzotta, F., Pappalardo, F., Briguori, C., Garbo, R., Masiero, G., Nicolini, E., Ribichini, F., Trani, C., Álvarez, B. C., Leor, O. R., Moreno, R., Santos, R., Fiarresga, A., Silveira, J. B., de Prado, A. P., Musumeci, G., Esposito, G., & Tarantini, G. (2019). Clinical expert consensus document on the use of percutaneous left ventricular assist support devices during complex high-risk indicated PCI: Italian Society of Interventional Cardiology Working Group Endorsed by Spanish and Portuguese Interventional Cardiology Societies. International Journal of Cardiology, 293, 84-90. https://doi.org/10.1016/j.ijcard.2019.05.065