Protected PCI

Q: What is the Protected percutaneous coronary intervention (PCI) procedure?



Answer: Protected PCI is a PCI performed under the cover of extra support from a heart device mostly left ventricular assist device (LVAD) such as impella. In patients who are suspected to have a high degree of coronary blockages, or may have a high risk of hemodynamic collapse, may benefit from protected PCI. Patients with underlying ischemic cardiomyopathy with low ejection fraction, severe diabetes, old age, history of peripheral vascular disease, or prior bypass surgery should be considered for protected PCI.

#cardiology
#hemodynamic


References:

1. Pesarini G, Gratta A, Dolci G, Lunardi M, Ribichini FL. Impella-protected PCI: the clinical results achieved so far. Minerva Cardioangiol. 2018 Oct;66(5):612-618. 

2.  O'Neill, W. W.; N. S. Kleiman; J. Moses; J. P. S. Henriques; S. Dixon; J. Massaro; I. Palacios; B. Maini; S. Mulukutla; V. Dzavik; J. Popma; P. S. Douglas; M. Ohman (2012). "A Prospective, Randomized Clinical Trial of Hemodynamic Support With Impella 2.5 Versus Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Percutaneous Coronary Intervention: The PROTECT II Study". Circulation. 126 (14): 1717–1727.