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Protected percutaneous coronary intervention

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100:." The Impella 2.5, used in protected PCI, "received FDA approval for elective and urgent high-risk PCI procedures in March 2015, following its 510(k) clearance in 2008" and as a percutaneous hemodynamic support device, it was deemed "safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment." The PROTECT II Study, published in 1228: 115:, and organizations such as the Society of Cardiovascular Angiography and Interventions, have featured lectures including "The New Era of Protected PCI: Treating Elective and High-Risk PCI Patients with Impella 2.5", and "Expanding your Patient Practice with Protected PCI: Treating the Most Complex Patients" in order to educate physicians on using protected percutaneous coronary intervention, respectively. 127: 291:
procedures in March 2015, following its 510(k) clearance in 2008, making it the first percutaneous hemodynamic support device to get the regulatory nod as both safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment.
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Einstein's Protected PCI program has operated from a position of strength, but expansion this spring broadened the patient mix to include elective and urgent high-risk PCI patients. At the center of the program is the Impella 2.5. The device received FDA approval for elective and urgent high-risk PCI
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Hozawa, Koji; Hitoshi Nakamura; Kazutoshi Yamamoto; Mizuki Hirose; Takanori Miyauchi; Akihiko Kanazawa; Sunao Nakamura; Osamu Hirashima; Nobuyuki Makishima; Shotaro Nakamura; Jun Koyama; Noriki Kutsukata; Makoto Anzai; Akira Honma (2004). "Successful Embolization Protection Using GuardWire System tor
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heart pump helps maintain a stable heart function by pumping blood for the heart. This gives a weak heart muscle an opportunity to rest and reduces the heartā€™s workload, preventing the heart from being overstressed by the procedure as coronary artery blockages are repaired". Deborah Moore, the
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Distal embolism is one of the major complications during percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). The Guard Wire system (GS) consists of an occlusion balloon which is inflated distally allowing protected PCI has recently become
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found that the "Impella 2.5 provided superior hemodynamic support in comparison with IABP, with maximal decrease in cardiac power output from baseline of āˆ’0.04Ā±0.24 W in comparison with āˆ’0.14Ā±0.27 W for IABP
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Remondino, Andrea; Christian Seiler; Pascal Meier; Roby D. Rakhit; Kerstin Wustmann; Rainer Zbinden; Stephan Zbinden; Stephan Windecker; Mario Togni; Peter Wenaweser; Bernhard Meier; Franz R. Eberli (2011).
305:"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" 277: 303:
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).
384:"Expanding your Patient Practice with Protected PCI: Treating the Most Complex Patients". The Society for Cardiovascular Angiography and Interventions. 6 May 2015. 467: 1176: 502: 598: 199:
This is so because the group undergoing protected primary PCI presented unaltered CFI during the second as compared to the first coronary occlusion.
996: 586: 871: 240:"Florida Hospital Zephyrhills Delivers New Game-Changing Technology for Advanced Heart Failure Patients with Coronary Artery Disease". 1250: 1121: 797: 702: 431: 1002: 352:"The New Era of Protected PCI: Treating Elective and High-Risk PCI Patients with Impella 2.5". Cath Lab Digest. 11 September 2015. 460: 427: 1009: 816: 1109: 806: 1131: 632: 1116: 1104: 985: 1231: 453: 756: 1063: 953: 707: 497: 140: 64: 1255: 1142: 1126: 593: 576: 177:"Collateral function changes during primary percutaneous coronary intervention in acute myocardial infarction" 1138: 1080: 980: 945: 791: 440: 155: 1184: 112: 68: 1215: 1019: 940: 214: 102: 89: 1189: 746: 559: 554: 35: 1068: 1046: 732: 571: 544: 145: 1051: 964: 960: 906: 901: 842: 763: 671: 620: 534: 31: 92:, stated that protected PCI is beneficial in patients who are "inoperable or non-candidates for 1094: 1040: 970: 878: 866: 727: 717: 712: 615: 566: 477: 428:
Understanding the Hemodynamics of Protected PCI - Martin B. Leon, MD and Dan Burkhoff, MD, PhD
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During a protected percutaneous coronary intervention (Protected PCI) procedure, "the
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Building a Protected PCI Program: The Heart Team Approach
1203: 1175: 1032: 887: 783: 523: 516: 18: 276:Pearson, Dave; Mary Tierney (22 September 2015). 461: 235: 233: 8: 57:Protected percutaneous coronary intervention 19:Protected percutaneous coronary intervention 520: 503:Cardiology diagnostic tests and procedures 468: 454: 446: 24: 599:Transcatheter pulmonary valve replacement 320: 192: 88:Director of Interventional Cardiology at 642:shunt from heart chamber to blood vessel 742:shunt from blood vessel to blood vessel 166: 63:, is a heart procedure that involves a 398: 387: 366: 355: 258: 247: 15: 872:Valve-sparing aortic root replacement 611:enlargement of existing septal defect 7: 606:production of septal defect in heart 67:that is used to treat patients with 42: 703:transposition of the great vessels 628:creation of septal defect in heart 432:Columbia University Medical Center 14: 1003:Cardiac resynchronization therapy 322:10.1161/CIRCULATIONAHA.112.098194 1227: 1226: 125: 1010:Left atrial appendage occlusion 212:Acute Myocardial lntarction". 1: 1132:Radionuclide ventriculography 1117:Myocardial perfusion imaging 111:=0.001)." Hospitals such as 90:Florida Hospital Zephyrhills 1272: 724:for univentricular defect 1251:Interventional cardiology 1224: 1064:Implantable loop recorder 708:Arterial switch operation 498:Interventional cardiology 488: 280:. Cardiovascular Business 141:Intra-aortic balloon pump 65:ventricular assist device 43: 23: 1143:Coronary catheterization 633:Blalockā€“Hanlon procedure 594:Mitral valve replacement 577:Aortic valve replacement 1139:Cardiac catheterization 1081:Electrophysiology study 981:Radiofrequency ablation 946:Alcohol septal ablation 441:Einstein Medical Center 181:Cardiovascular Medicine 156:Acute cardiac unloading 1185:Impedance cardiography 807:Coronary artery bypass 194:10.4414/cvm.2011.01579 113:Detroit Medical Center 69:cardiovascular disease 1216:Transcutaneous pacing 1020:Heart transplantation 941:Ventricular reduction 757:Blalockā€“Taussig shunt 71:, including advanced 34:delineating the left 1190:Ballistocardiography 747:systemic circulation 244:. 30 September 2015. 36:coronary circulation 1069:Cardiac stress test 1047:Electrocardiography 986:Pacemaker insertion 733:Kawashima procedure 697:compound procedures 572:Aortic valve repair 545:Mitral valve repair 215:Circulation Journal 146:Seldinger technique 1122:Cardiovascular MRI 1052:Vectorcardiography 907:Pericardial window 902:Pericardiocentesis 843:Drug-eluting stent 672:Rastelli procedure 621:Balloon septostomy 32:coronary angiogram 1238: 1237: 1095:Angiocardiography 1041:Electrophysiology 1028: 1027: 971:Catheter ablation 954:Conduction system 879:LeCompte maneuver 867:Bentall procedure 728:Norwood procedure 718:Senning procedure 713:Mustard procedure 616:Atrial septostomy 567:Valve replacement 397:Missing or empty 365:Missing or empty 315:(14): 1717ā€“1727. 257:Missing or empty 59:, abbreviated as 54: 53: 1263: 1230: 1229: 1195:Cardiotocography 1163: 1127:Ventriculography 1100:Echocardiography 1091: 1043: 959:Maze procedure ( 956: 922: 898: 851: 850:Obstacle removal 838:Bare-metal stent 834: 794: 751:pulmonary artery 743: 698: 683:pulmonary artery 656:Fontan procedure 651:pulmonary artery 643: 607: 521: 470: 463: 456: 447: 407: 406: 400: 395: 393: 385: 381: 375: 374: 368: 363: 361: 353: 349: 343: 342: 324: 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Retrieved 271: 223: 219: 213: 206: 198: 184: 180: 169: 108: 101: 82: 60: 56: 55: 1153:Cardiac PET 896:Pericardium 860:Atherectomy 798:Angioplasty 540:Valvulotomy 309:Circulation 103:Circulation 98:angioplasty 85:Impella 2.5 1245:Categories 1148:Cardiac CT 1015:Cardiotomy 920:Myocardium 688:Sano shunt 478:procedures 476:Tests and 399:|url= 367:|url= 284:13 October 259:|url= 225:available. 162:References 528:and septa 331:0009-7322 79:Procedure 1232:Category 965:minimaze 961:Cox maze 390:cite web 358:cite web 339:22935569 250:cite web 242:Fox News 119:See also 517:Surgery 423:Abiomed 151:Impella 1204:Pacing 812:MIDCAB 803:Bypass 753:shunt 647:atrium 560:mitral 555:aortic 337:  329:  94:stents 1161:sound 1033:Tests 991:S-ICD 888:Other 822:TECAB 667:aorta 482:heart 222:(1). 45:[ 963:and 701:for 403:help 371:help 335:PMID 327:ISSN 286:2015 263:help 96:and 1110:TEE 1105:TTE 997:ICD 792:CHD 764:SVC 749:to 681:to 665:to 649:to 439:by 430:by 421:by 317:doi 313:126 189:doi 1247:: 768:PA 394:: 392:}} 388:{{ 362:: 360:}} 356:{{ 333:. 325:. 311:. 307:. 288:. 254:: 252:}} 248:{{ 232:^ 220:68 218:. 197:. 185:14 183:. 179:. 75:. 30:A 1141:/ 967:) 805:/ 469:e 462:t 455:v 405:) 401:( 373:) 369:( 341:. 319:: 265:) 261:( 191:: 109:P 107:( 49:] 38:.

Index


coronary angiogram
coronary circulation
edit on Wikidata
ventricular assist device
cardiovascular disease
heart failure
Impella 2.5
Florida Hospital Zephyrhills
stents
angioplasty
Circulation
Detroit Medical Center
Medicine portal
Intra-aortic balloon pump
Seldinger technique
Impella
Acute cardiac unloading
"Collateral function changes during primary percutaneous coronary intervention in acute myocardial infarction"
doi
10.4414/cvm.2011.01579
Circulation Journal


Fox News
cite web
help
"Building a Protected PCI Program: The Heart Team Approach"
"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"
doi

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