Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Mechanical circulatory support in PCI needs clearer guidance

Key clinical point: Outcomes for Impella mechanical circulatory support during percutaneous coronary interventions are variable.

Major finding: Impella mortality was 32% higher than with intra-aortic balloon pumps.

Data source: An analysis of 28,304 patients with acute MI and cardiogenic shock in the National Cardiovascular Data Registry’s CathPCI and Chest Pain–MI registries; and an observational analysis of 48,306 percutaneous coronary intervention patients in the Premier Healthcare Database.

Disclosures: Dr. Amin disclosed relationships with Terumo and GEO Healthcare. Dr. Dhruva has no relationships to disclose. The study was supported in part by a Center of Excellence in Regulatory Science and Innovation grant from the Food and Drug Administration and the American College of Cardiology’s National Cardiovascular Data Registry.

Citation:

Amin AP, Dhruva S. AHA 2019, Late-Breaking Science 4 session.