Complex PCI: Nothing Is Simple in Shock Patients!-What Is Complex and High Risk? Patient Population and Tools/Skillsets Needed to Treat, Dr. Vicente Jimenez-Franco,

What Is Complex and High Risk? Patient Population and Tools/Skillsets Needed to Treat, Dr. Vicente Jimenez-Franco,

Video Transcription

Video Summary

The presentation focuses on high-risk percutaneous coronary intervention (PCI) involving patients with complex coronary anatomy, comorbidities, and hemodynamic compromise. Mechanical circulatory support (MCS), such as Impella and balloon pumps, provides hemodynamic stability, potentially reducing procedure complications and improving outcomes. Trials like PCIS-1 and PROTECT-2 show mixed results but suggest benefits with appropriate MCS use, while ongoing studies like PROTECT-4 aim to clarify benefits further. Advanced imaging and lesion modification tools improve procedural success. Overall, meticulous patient assessment, device expertise, and a multidisciplinary approach enhance outcomes in high-risk PCI, improving ejection fraction, angina, and heart failure symptoms.

Keywords

high-risk PCI

mechanical circulatory support

Impella

advanced imaging

multidisciplinary approach