Key result
High-risk percutaneous coronary interventions are increasingly used as an alternative to coronary artery bypass grafting in patients with severe coronary disease and reduced left ventricular function.
Left ventricular support systems are discussed as an adjunct for increasingly prevalent high-risk percutaneous coronary interventions in patients with severe coronary disease and reduced ejection fraction.
H igh-risk percutaneous coronary interventions (PCI) arebecoming more prevalent as the ability to perform complex coronary interventions continues to improve.Patients for whom high-risk interventions are considered generally have severe diffuse coronary artery disease, a single last patent conduit, or significant left main disease with large territories of myocardial ischemia.In addition, these patients also typically have reduced left ventricular function (ejection fraction <25%-35%) with comorbidities that make them high risk for standard coronary artery bypass grafting.Thus, PCI is increasingly used as a viable alternative for coronary revascularization, but it too is associated with a high degree of morbidity and mortality.
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Vavalle et al. (2012) conducted a review in High-risk percutaneous coronary interventions (PCI). Left Ventricular Support Systems was evaluated. High-risk percutaneous coronary interventions are increasingly used as an alternative to coronary artery bypass grafting in patients with severe coronary disease and reduced left ventricular function.
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