scholarly journals TCT-449 Trends in Utilization and Hospital Variation in the use of Mechanical Circulatory Support Devices in Patients Undergoing Percutaneous Coronary Intervention in Michigan: Insights from the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2)

2018 ◽  
Vol 72 (13) ◽  
pp. B180-B181
Author(s):  
Thomas Earl ◽  
Milan Seth ◽  
Devraj Sukul ◽  
Nick Slocum ◽  
Louis Cannon ◽  
...  
2021 ◽  
Vol 8 (08) ◽  
pp. 5578-5583
Author(s):  
Usman Sarwar ◽  
Nikky Bardia ◽  
Amod Amritphale ◽  
Hassan Tahir ◽  
MD Ghulam M.Awan

Statistical data has shown that patients now treated in cardiac catheterization laboratories are older with several comorbidities, including renal failure, diabetes, and heart failure [1]. In past patients who were not suitable candidates for percutaneous coronary intervention due to their numerous comorbidities now seems to be a suitable candidate due to tremendous advancements in the field of interventional cardiology like new stent design and availability of advance mechanical circulatory support devices, i.e., Impella performing PCI on these high-risk patients become a viable option. There are two areas of cardiology in which mechanical circulatory support devices keep evolving: one is high-risk (percutaneous coronary intervention) PCI, and the other is a cardiogenic shock that is refractory to initial pressor support.  In this article, we review evidence base data regarding the use of mechanical circulatory support devices in high-risk percutaneous intervention and cardiogenic shock.


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