Complex PCI: Nothing Is Simple in Shock Patients!-Getting In and Out Safely: Vascular Access and Closure in AMI-CS, Dr. Vikas Aggarwal,

Getting In and Out Safely: Vascular Access and Closure in AMI-CS, Dr. Vikas Aggarwal,

Video Transcription

Video Summary

The presentation discusses high-risk PCI defined by patient comorbidities, complex coronary anatomy, and hemodynamic compromise. Mechanical circulatory support (MCS) devices, like balloon pumps and Impella, provide hemodynamic stability, aiding procedural success and potentially improving renal outcomes. Key trials (PCIS-1, PROTECT-2) showed mixed results on MCS benefits but suggested improved stent optimization with Impella. The upcoming PROTECT-4 trial will further evaluate Impella in high-risk PCI. New devices with lower profiles and better flexibility aim to reduce vascular complications. Use of intravascular imaging and lesion modification tools is crucial for optimal outcomes alongside MCS in high-risk patients with LV dysfunction.

Keywords

high-risk PCI

mechanical circulatory support

Impella

hemodynamic stability

intravascular imaging