Background
Patients undergoing high-risk percutaneous coronary intervention (PCI) are at risk for hemodynamic compromise. In addition to an intraaortic balloon pump, TandemHeart and the Impella device may also be used for temporary hemodynamic support. Indications and benefits of one device vs. another remain poorly defined. We therefore sought to evaluate our experience with these devices in a consecutive series of patients undergoing high-risk PCI.
Methods
Seventy-five consecutive patients undergoing high-risk PCI at a single center were retrospectively reviewed. Demographic, procedural and angiographic variables and in-hospital clinical events were collected. The STS, Additive euroSCORE and NCDR CathPCI risk scores were calculated to evaluate procedural risk. Patients undergoing IABP-assisted PCI (I-PCI group, n =47) were compared to those undergoing either Tandem Heart or Impella-assisted PCI (PLVAD-PCI group, n =28).
Methods
Seventy-five consecutive patients undergoing high-risk PCI at a single center were retrospectively reviewed. Demographic, procedural and angiographic variables and in-hospital clinical events were collected. The STS, Additive euroSCORE and NCDR CathPCI risk scores were calculated to evaluate procedural risk. Patients undergoing IABP-assisted PCI (I-PCI group, n =47) were compared to those undergoing either Tandem Heart or Impella-assisted PCI (PLVAD-PCI group, n =28).
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