Key result
Transcatheter left ventricular restoration devices show promising results for adverse LV remodeling after myocardial infarction, but currently fail to demonstrate a clear survival benefit.
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This review summarizes the spectrum of transcatheter devices available or in development for attenuating adverse left ventricular remodeling post-myocardial infarction.
Even in the era of percutaneous reperfusion therapy, left ventricular (LV) remodeling after myocardial infarction (MI) leading to heart failure remains a major health concern. Contractile dysfunction of the infarcted myocardium results in an increased pressure load, leading to maladaptive reshaping of the LV. Several percutaneous transcatheter procedures have been developed to deliver devices that restore LV shape and function. The purposes of this review are to discuss the spectrum of transcatheter devices that are available or in development for attenuation of adverse LV remodeling and to critically examine the available evidence for improvement of functional status and cardiovascular outcomes.
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Hendriks et al. (2018) conducted a review in Myocardial infarction and left ventricular remodeling. Left ventricular restoration devices was evaluated. Transcatheter left ventricular restoration devices show promising results for adverse LV remodeling after myocardial infarction, but currently fail to demonstrate a clear survival benefit.
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