AI Article Synopsis

  • * Using devices like the Impella heart pump during procedures helps reduce risks for patients who are at higher risk and need more complex interventions.
  • * Recent findings from the PROTECT III trial show that CR with the support of Impella can lower the chances of needing additional procedures, highlighting the importance of advanced techniques and medications for better recovery.

Article Abstract

Complete revascularization (CR) in patients with multi-vessel disease improves outcomes. The use of percutaneous left-ventricular assist devices, such as the Impella heart pump, is useful to minimize the risk of haemodynamic compromise in complex higher risk and clinically indicated patients. The recently published data from the PROTECT III trial suggest more CR during Impella-protected percutaneous coronary intervention with more extensive lesion preparation and treatment, resulting in the reduced need for repeat revascularization. To achieve CR and improve survival, procedural guidance by intravascular imaging, extensive lesion preparation, debulking with atherectomy devices, advanced chronic total occlusion revascularization techniques, and post-interventional treatment with modern anti-platelet medication are essential.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730788PMC
http://dx.doi.org/10.1093/eurheartjsupp/suac062DOI Listing

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