PMID- 30343595
OWN - NLM
STAT- MEDLINE
DCOM- 20190308
LR  - 20190718
IS  - 1745-2422 (Electronic)
IS  - 1743-4440 (Linking)
VI  - 15
IP  - 11
DP  - 2018 Nov
TI  - Latest STEMI treatment: a focus on current and upcoming devices.
PG  - 807-817
LID - 10.1080/17434440.2018.1538778 [doi]
AB  - INTRODUCTION: Ischemic heart disease is the most common cause of mortality 
      worldwide. In ST elevation myocardial infarction (STEMI) patients, optimization 
      of primary percutaneous coronary intervention (pPCI) is crucial to improve 
      myocardial savage and prevent reperfusion injury. In STEMI patients complicated 
      with cardiogenic shock (CS), percutaneous mechanical circulatory support devices 
      (MCS) have emerged as a therapeutic option in the management of this challenging 
      condition and their use is rapidly increasing. AREAS COVERED: In this review we 
      discuss how pPCI can be optimized with respect to thrombectomy use, stent 
      selection and revascularization strategy, in order to reduce myocardial damage 
      and to improve clinical outcomes. Moreover, we review the recently-published data 
      for and against the use of commercially available MCS in STEMI patients 
      complicated by CS (intra-aortic balloon pump counterpulsation (IABP), Impella 
      system, TandemHeart, and venous-arterial extracorporeal membrane oxygenation 
      (VA-ECMO)). EXPERT COMMENTARY: In pPCI, second-generation drug-eluting stent 
      implantation and complete revascularization are always recommended. Thrombectomy 
      does not have any role in improving mortality. In patients with CS, current MCS 
      have shown no improvement in mortality.
FAU - Moscarella, Elisabetta
AU  - Moscarella E
AD  - a Hospital Clinic, Cardiovascular Clinic Institute , Institut d'Investigacions 
      Biomediques August Pi i Sunyer (IDIBAPS) , Barcelona , Spain.
FAU - Brugaletta, Salvatore
AU  - Brugaletta S
AD  - a Hospital Clinic, Cardiovascular Clinic Institute , Institut d'Investigacions 
      Biomediques August Pi i Sunyer (IDIBAPS) , Barcelona , Spain.
FAU - Sabate, Manel
AU  - Sabate M
AD  - a Hospital Clinic, Cardiovascular Clinic Institute , Institut d'Investigacions 
      Biomediques August Pi i Sunyer (IDIBAPS) , Barcelona , Spain.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20181030
PL  - England
TA  - Expert Rev Med Devices
JT  - Expert review of medical devices
JID - 101230445
SB  - IM
MH  - Animals
MH  - Heart-Assist Devices
MH  - Humans
MH  - Percutaneous Coronary Intervention/*instrumentation
MH  - ST Elevation Myocardial Infarction/complications/*therapy
MH  - Shock, Cardiogenic/complications
MH  - Stents
MH  - Thrombosis/therapy
OTO - NOTNLM
OT  - Bare metal stent
OT  - Impella
OT  - ST elevation myocardial infarction
OT  - Tandemheart
OT  - drug eluting stent
OT  - extracorporeal membrane oxygenation
OT  - intra aortic balloon pump
OT  - percutaneous coronary intervention
OT  - thrombus aspiration
OT  - venous-arterial extracorporeal membrane oxygenation
EDAT- 2018/10/23 06:00
MHDA- 2019/03/09 06:00
CRDT- 2018/10/23 06:00
PHST- 2018/10/23 06:00 [pubmed]
PHST- 2019/03/09 06:00 [medline]
PHST- 2018/10/23 06:00 [entrez]
AID - 10.1080/17434440.2018.1538778 [doi]
PST - ppublish
SO  - Expert Rev Med Devices. 2018 Nov;15(11):807-817. doi: 
      10.1080/17434440.2018.1538778. Epub 2018 Oct 30.