Optimizing rotational atherectomy in high-risk percutaneous coronary interventions: Insights from the PROTECT ΙΙ study

2013 ◽  
Vol 83 (7) ◽  
pp. 1057-1064 ◽  
Author(s):  
Mauricio G. Cohen ◽  
Abhijit Ghatak ◽  
Neal S. Kleiman ◽  
Srihari S. Naidu ◽  
Joseph M. Massaro ◽  
...  
Keyword(s):  
High Risk ◽  
Rotational Atherectomy ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary

scholarly journals Sex-related differences and rotational atherectomy: Analysis of 5 177 percutaneous coronary interventions based on a large national registry from 2014 to 2020

2021 ◽  
Vol 79 (12) ◽  
pp. 1320-1327
Author(s):  
Karol Sabatowski ◽  
Krzysztof P Malinowski ◽  
Zbigniew Siudak ◽  
Krzysztof Reczuch ◽  
Sławomir Dobrzycki ◽  
...  
Keyword(s):  
National Registry ◽  
Rotational Atherectomy ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary

scholarly journals Access site complications following Impella-supported high-risk percutaneous coronary interventions

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Laura Johannsen ◽  
Amir A. Mahabadi ◽  
Matthias Totzeck ◽  
Andrea Krueger ◽  
Rolf Alexander Jánosi ◽  
...  
Keyword(s):  
High Risk ◽  
Vascular Access ◽  
Academic Research ◽  
Vascular Complications ◽  
Circulatory Support ◽  
Syntax Score ◽  
Percutaneous Coronary Interventions ◽  
Access Site ◽  
Coronary Interventions ◽  
Percutaneous Coronary

AbstractMechanical circulatory support (MCS) devices are increasingly used to provide hemodynamic stability for patients with severe coronary artery disease, comorbidities, and/or impaired hemodynamics during high-risk percutaneous coronary interventions (PCI). Vascular access site complications, particularly those due to the use of large-bore sheaths, may limit outcomes in these patients. The aim of this study was to investigate the incidence and predictors of vascular complications in protected high-risk PCIs. Therefore, we included patients undergoing high-risk PCI with an Impella device from January 2016 to August 2018. Vascular complications were graded according to ‘Valve Academic Research Consortium-2’, a definition routinely used in transcatheter valve implantation procedures. In total, 61 patients (mean age 72 ± 11 years, 79% male, SYNTAX score 33 ± 7) were included, and angiographic- and fluoroscopic-guided vascular access was used for Impella implantation in all patients. Major vascular complications occurred in 5 male patients (8%). All major vascular complications were treated conservatively without the need for surgical intervention, and only one patient received a transfusion of three erythrocyte concentrates. Regression analysis revealed that patients with peripheral arterial disease of the lower extremities are at higher risk of major vascular complications. In conclusion, the utilization of Impella using a standardized protocol for angiographic- and fluoroscopic-guided vascular access was associated with a low rate of vascular complications.

scholarly journals Supporting High-Risk Percutaneous Coronary Interventions With Mechanical Devices

2020 ◽  
Vol 2 (5) ◽  
pp. 702-704
Author(s):  
Stephen E. Wilkinson ◽  
Duane C. Berkompas ◽  
Justin S. Fanning ◽  
Hanna S. Park
Keyword(s):  
High Risk ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Mechanical Devices

scholarly journals THE USE OF HEMODYNAMIC SUPPORT IN OCTOGENERIAN PATIENTS DURING HIGH RISK PERCUTANEOUS CORONARY INTERVENTIONS

2014 ◽  
Vol 63 (12) ◽  
pp. A1897
Author(s):  
Ghassan Fraij ◽  
Joseph Massaro ◽  
Shukri David ◽  
Neal Kleiman ◽  
Ali Denktas ◽  
...  
Keyword(s):  
High Risk ◽  
Percutaneous Coronary Interventions ◽  
Hemodynamic Support ◽  
Coronary Interventions ◽  
Percutaneous Coronary
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