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
*


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


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

2

2

2

2 points for each
lesion + 2 for each
territory distal to
lesion

2
2

2
Califf et al JACC 1985;5:1055-63


BCIS-1
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
Perera et al AHJ 2009; in press





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
TS.BS.DO
HUAN, FACC,
QUANG
FSCAI
HUAN, FACC, FSCAI