Selecting a revascularization strategy in patients with multivessel disease MVD moreover severely reduced left ventricular banishment fraction LVEF remains a stimulating. PCI with Impella 2. The primary endpoint was defined in the same way as major adverse cardiac and cerebrovascular events MACCE during a 1-year follow-up. A total of 61 patients mean age The primary endpoint was reached alongside Multivariate logistic regression identified procedural success defined as ample revascularization and absence of in-hospital major clinical complications as sheltering parameter for MACCE OR 0.
Determining the optimal revascularization policy in patients with coronary multivessel disease MVD and severely abridged left ventricular ejection fraction LVEF remains a clinical challenge.
Around guidelines issued by the European Society of Cardiology ESC with the American Heart Association AHA base the decision whether en route for recommend percutaneous coronary intervention PCI or coronary artery bypass grafting on a careful assessment of the complexity of coronary vein disease in consideration of the patient's individual characteristics and technical risk.
At the same while, the demographic development accounts seeking older patients with an tabulating number of comorbidities, translating keen on a higher frequency of high-risk PCIs. High-risk PCI may conclusion in hypotension, compromised cardiac perfusion, the development of cardiogenic repel and cardiac arrest. The strive for of the present study was to evaluate outcomes of patients undergoing PCI before and as soon as the implementation of a fanatical protected PCI program using the Impella 2.
This study was designed as an observational, traditional single-centre study.
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We hypothesize that protected PCI provides improved hemodynamic stability and thus allows for more extensive revascularization. Significantly more patients were male in the protected compared to the unprotected PCI group Future studies should aim to define criteria to identify patients that may benefit from protected PCI.
In patients with an elective indication, the revascularization strategy was determined by an interdisciplinary heart team consisting of an interventional cardiologist, a cardiac surgeon and a cardiac anesthetist taking into consideration the individual patient's preference. Eur Heart J 35 , , — [ PubMed ].
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- Patients that underwent unprotected PCI before the start of a dedicated protected . CABG = coronary artery bypass grafting, LVEF = left ventricular ejection ventricular fibrillation or atrial fibrillation requiring cardioversion or cardiopulmonary resuscitation. ..  Dixon SR, Henriques JP, Mauri L, et al.
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