The Heart of the Matter

Best Practice Approach on High-Risk Percutaneous Coronary Intervention

“The Heart of the Matter: Best practice approach on high-risk percutaneous coronary intervention” is a publication of 8 articles addressing patient management and mechanical circulatory support (MCS) related to protected, high-risk percutaneous coronary intervention (PCI). The articles cover topics including best practices in:

Discover Additional Insights

 

European Best Practice Approach on High-Risk PCI

Prof. Nikos Werner gives an overview about the 8 manuscripts of the European Heart Journal Supplement.

 

Anticoagulation and Protected PCI

Prof. Dr. Christophe Vandenbriele discusses his recently published paper on anticoagulation in patients underoing Protected PCI procedures.

 

Optimal Revascularization Strategies During Protected PCI

Prof. Dr. Jan-Malte Sinning discusses optimal revascularization strategies during protected high-risk procedures with Impella® heart pumps.

Download One Page Summaries

Author Interviews

 

Pre-Procedural Clinical Workup for Protected PCI

Fadi Al-Rashid, MD, discusses his publication on standard pre-procedural clinical workup for Protected PCI.

 

Optimized Patient Selection for High-risk Protected PCI

Jürgen Leick, MD, discusses his paper on optimizing patient selection in high-risk protected percutaneous coronary intervention.

 

Handling High-risk Patients in the Cath Lab

Prof. Karim Ibrahim discusses his article describing best practices for handling high-risk patients in the cardiac catheterization laboratory.

European best practice: a step forward to optimize Impella-protected percutaneous coronary intervention to improve outcome after high-risk coronary interventions

by N. Werner, F. Burzotta, and J.-M. Sinning 

 

This overview article provides a framework for this series of articles. It addresses European recommendations and best practices for patient management and mechanical circulatory support (MCS)during high risk intervention.

Optimized patient selection in high-risk protected percutaneous coronary intervention Optimized patient selection in high-risk protected percutaneous coronary intervention

Optimized patient selection in high-risk protected percutaneous coronary intervention

Percutaneous left ventricular assist devices (pLVADs) have the potential to minimize the risk of hemodynamic deterioration during the procedure, but they are associated with risks and require experienced interventional cardiologists. Thus, the authors of this article write “Patient selection is an essential key feature to a safe and successful outcome.”

Standardized pre-procedural clinical workup for protected percutaneous coronary intervention Standardized pre-procedural clinical workup for protected percutaneous coronary intervention

Standardized pre-procedural clinical workup for protected percutaneous coronary intervention

Pre-procedural assessment is important in the complex patient population undergoing Protected PCI. Identifying and preparing the femoral access site is a critical aspect of this workup. This article describes pre-procedural preparation, with a particular focus on imaging techniques for screening and guiding vascular access in patients undergoing Protected PCI.

What is known in pre-, peri-, and post-procedural anticoagulation in micro-axial flow pump protected percutaneous coronary intervention? What is known in pre-, peri-, and post-procedural anticoagulation in micro-axial flow pump protected percutaneous coronary intervention?

What is known in pre-, peri-, and post-procedural anticoagulation in micro-axial flow pump protected percutaneous coronary intervention?

“The precarious balance between bleeding and thrombosis in patients with p-LVAD support is often the primary reason that patients’ outcomes are jeopardized,” write the authors of this article, which discusses anticoagulation strategies and anticoagulant management in the setting of Protected PCI.

Defining the optimal revascularization strategy during protected high-risk procedures with Impella heart pumps Defining the optimal revascularization strategy during protected high-risk procedures with Impella heart pumps

Defining the optimal revascularization strategy during protected high-risk procedures with Impella heart pumps

This article explores optimal revascularization strategies for patients undergoing Protected PCI. The authors note that recently published PROTECT III trial data suggest that more complete revascularization (CR) during Impella-protected PCI with more extensive lesion preparation and treatment results in reduced need for repeat revascularization and improved survival.

Handling high-risk patients in the catheterization laboratory Handling high-risk patients in the catheterization laboratory

Handling high-risk patients in the catheterization laboratory

This article describes how the interventional cardiology team handles high-risk patients in the cath lab, from procedural preparation and planning through procedural monitoring, as well as weaning strategies and access site management.

Optimal bail-out and complication management strategies in protected high-risk percutaneous coronary intervention with the Impella heart pump Optimal bail-out and complication management strategies in protected high-risk percutaneous coronary intervention with the Impella heart pump

Optimal bail-out and complication management strategies in protected high-risk percutaneous coronary intervention with the Impella heart pump

In this article the authors describe techniques for Impella removal with or without pre-closure and discuss how to prevent and manage complications associated with large-bore femoral access.

Specific Clinical Vignettes in High-Risk Protected Percutaneous Coronary Intervention Specific Clinical Vignettes in High-Risk Protected Percutaneous Coronary Intervention

Specific Clinical Vignettes in High-Risk Protected Percutaneous Coronary Intervention

This article presents 3 case vignettes that provide practical insights and reinforce best practices. The authors emphasize that several cardiac and patient-related factors come into play when considering patients for Protected percutaneous coronary intervention (PCI).

Sign Up for Latest Updates

NPS-3422

This information is intended for use by customers, patients, and healthcare professionals in [region] only. We recognize that the Internet is a global communications medium; however, laws, regulatory requirements, and product information for medical products can vary from country to country. The product information included here may not be appropriate for use outside [region], and the information from other sites you visit may not be appropriate for use in [region].