1. High-Risk Percutaneous Coronary Intervention of Native Coronary Arteries Without Mechanical Circulatory Support in Acute Coronary Syndrome Without Cardiogenic Shock
- Author
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Nauman Khalid, Brian C. Case, Cheng Zhang, Evan Shlofmitz, Charan Yerasi, Corey Shea, Toby Rogers, Anees Musallam, Itsik Ben-Dor, Ron Waksman, Hayder Hashim, Nelson L. Bernardo, Yuefeng Chen, and Lowell F. Satler
- Subjects
Male ,Acute coronary syndrome ,medicine.medical_specialty ,medicine.medical_treatment ,Coronary artery disease ,Percutaneous Coronary Intervention ,Postoperative Complications ,Risk Factors ,Internal medicine ,medicine ,Humans ,Angina, Unstable ,Assisted Circulation ,Hospital Mortality ,cardiovascular diseases ,Myocardial infarction ,Non-ST Elevated Myocardial Infarction ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Unstable angina ,Cardiogenic shock ,Percutaneous coronary intervention ,Middle Aged ,medicine.disease ,Survival Rate ,Coronary arteries ,medicine.anatomical_structure ,Conventional PCI ,Cardiology ,Feasibility Studies ,ST Elevation Myocardial Infarction ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Widespread utilization of mechanical circulatory support (MCS) for high-risk percutaneous coronary intervention (PCI) remains controversial, with a lack of randomized supporting evidence and associated risk of device-related complications. We investigated whether high-risk PCI of native coronary arteries without elective MCS in patients with acute coronary syndrome (ACS) is safe and feasible. We performed a single-center, retrospective analysis for ACS patients meeting American College of Cardiology high-risk criteria: unprotected left main disease, last remaining conduit, ejection fraction
- Published
- 2021