Haemodynamic support for high risk PCI post AMI
High risk PCI
- Non consensus Definition
- Clinical Presentation Specific
* AMI, Shock, Pre-Shock
- Patient Specific
* Age, LV function, prior MI, DM, Renal Function, Lung
Function
- Lesion Specific
* LM, MV, Last Conduit to the Heart, Calcification
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HAEMODYNAMIC SUPPORT FOR HIGH RISK PCI POST AMI DO QUANG HUAN, MD, PhD, FACC, FSCAI 10/18/2016 TS.BS. DO QUANG HUAN High risk PCI - Non consensus Definition - Clinical Presentation Specific * AMI, Shock, Pre-Shock - Patient Specific * Age, LV function, prior MI, DM, Renal Function, Lung Function - Lesion Specific * LM, MV, Last Conduit to the Heart, Calcification - 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 Hypokinese or akinese TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI Finke, JACC 2004 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI Balloon-pump assisted Coronary Intervention Study BCIS-1 Simon Redwood St Thomas’ Hospital / King’s College London On behalf of the BCIS-1 Investigators Steering Committee: Divaka Perera, Rod Stables, Jean Booth, Martyn Thomas LVEF < 30% Jeopardy Score ≥ 8 Randomize 6 month follow-up Elective IABP Insertion No Planned IABP PCI Remove IABP 4-24 hrs after PCI Hospital Follow-up To discharge or 28 days Jeopardy Score 2 2 2 2 2 2 Califf et al JACC 1985;5:1055-63 6 Major Coronary Segments 2 points for each lesion + 2 for each territory distal to lesion Primary Outcome Measure Major Adverse Cardiovascular or Cerebral Events (MACCE) at hospital discharge or 28 days (whichever is sooner), including • All-Cause Death • Acute MI • Further revascularization by PCI or CABG • CVA BCIS-1 Perera et al AHJ 2009; in press Kaplan Meier 6 month mortality 7.3% vs 4.6%, p = 0.32 Elective IABP No Planned TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI TS.B .DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI TANDEMHEART 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI ECMO CURCUITS 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI 26/03/2016 TS.BS.DO QUANG HUAN, FACC, FSCAI THANK YOU FOR YOUR ATTENTION
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