Challenging interventional procedures in cardiogenic shock and acute heart failure: the role of ventricular assist devices, individualised therapy and local facilities in the decision process

With the collaboration of the Working Group of Interventional Cardiology of the Austrian Society of Cardiology and the Swedish Working Group on PCI and Valvular Interventions (Swedish Cardiac Society)

Chairpersons: A. Geppert, N. Witt
Panellists: R. Binder, J. Odenstedt
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Summary

Consult this session to learn more about patient factors indicating benefit from mechanical support during PCI, the different left ventricular support devices that may be used, and get insight on the specific challenges faced when managing cardiogenic shock in centres without access to mechanical support or 24/7 PCI.

Learning Objectives

  • To learn more about patient factors indicating benefit from mechanical support during PCI
  • To review the different left ventricular support devices that may be used in patients with acute heart failure/cardiogenic shock
  • To learn more about gaps in evidence in the management of patients with cardiogenic shock and to critically appraise individualised therapy
  • To understand the specific challenges faced when managing cardiogenic shock in centres without access to mechanical support or 24/7 PCI

Presentations available when logged in:

  • Session objectives
  • Challenges of treating octogenarians: calcification all over – Impella-supported aortic balloon valvuloplasty and left main PCI
  • Case treatment
  • Inferior STEMI with multivessel disease complicated by cardiogenic shock. Full revascularisation despite current evidence?
  • Case treatment
  • Key learnings
  • Anterior myocardial infarction complicated by cardiogenic shock and ventricular fibrillation during acute PCI in a patient with three-vessel diseas...
  • Case treatment
  • Patient with refractory ventricular fibrillation - The use of ECMO to facilitate PCI
  • Case treatment
  • Key learnings
  • Session evaluation and key learnings