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Pulsatile iVAC 2L circulatory support in high-risk percutaneous coronary intervention.
- Source :
-
EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology [EuroIntervention] 2017 Feb 20; Vol. 12 (14), pp. 1689-1696. - Publication Year :
- 2017
-
Abstract
- Aims: Our aim was to test the feasibility and safety of the transfemoral PulseCath iVAC 2L (PulseCath, Amsterdam, The Netherlands).<br />Methods and Results: Circulatory support devices are helpful adjunctive tools to perform high-risk percutaneous coronary interventions (PCI). The PulseCath iVAC 2L is a novel pulsatile circulatory support system capable of generating output of up to 2 L/min. We performed a prospective clinical pilot study enrolling 14 patients who underwent high-risk PCI under protection with the iVAC 2L. Median age was 74 (56-84) years. Implantation of the iVAC 2L was successful in 13 (93%) patients. Median device flow was 1.4 (1.1-2.0) L/min. Total support time was 67 (23-149) minutes. The use of iVAC 2L support was associated with a better mean arterial pressure and cardiac output during the procedure. Angiographic success was 100%. There was one major procedural complication related to the 19 Fr access sheath. There were no major adverse events at three-month follow-up.<br />Conclusions: Circulatory support with the iVAC 2L device is feasible and safe in patients undergoing high-risk PCI.
- Subjects :
- Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary methods
Female
Humans
Male
Middle Aged
Pilot Projects
Prospective Studies
Prosthesis Design
Risk Assessment
Treatment Outcome
Angioplasty, Balloon, Coronary instrumentation
Coronary Artery Disease therapy
Heart-Assist Devices
Percutaneous Coronary Intervention methods
Subjects
Details
- Language :
- English
- ISSN :
- 1969-6213
- Volume :
- 12
- Issue :
- 14
- Database :
- MEDLINE
- Journal :
- EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 28216471
- Full Text :
- https://doi.org/10.4244/EIJ-D-16-00371