Key result
Percutaneous interventions for HF lack high-quality evidence and require randomized trials to identify benefiting populations.
Why the study?
Heart failure causes high morbidity and mortality despite treatments, and while percutaneous interventions have emerged as crucial management options, critical gaps remain in the existing evidence.
This review highlights the role of percutaneous interventions in heart failure management and emphasizes the need for further high-quality randomized clinical trials.
Insufficient evidence precludes routine percutaneous HF interventions; leaves open optimal patient selection pending RCTs.
Heart Failure (HF) remains a global health challenge, marked by its widespread prevalence and substantial resource utilization. Although the prognosis has improved in recent decades due to the treatments implemented, it continues to generate high morbidity and mortality in the medium to long term. Interventional cardiology has emerged as a crucial player in HF management, offering a diverse array of percutaneous treatments for both acute and chronic HF. This article aimed to provide a comprehensive review of the role of percutaneous interventions in HF patients, with a primary focus on key features, clinical effectiveness, and safety outcomes. Despite the growing utilization of these interventions, there remain critical gaps in the existing body of evidence. Consequently, the need for high-quality randomized clinical trials and extensive international registries is emphasized to shed light on the specific patient populations and clinical scenarios that stand to benefit most from these innovative devices.
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Romero et al. (2024) conducted a review in Heart Failure. Percutaneous treatments was evaluated. Percutaneous interventions for heart failure management lack sufficient high-quality evidence, highlighting the need for randomized clinical trials to identify populations that benefit most.
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