- Catheter laboratory skills
- General Cardiology
- Thrombus Aspiration
- Intra Aortic Balloon Pump (IABP)
- Percutaneous Coronary Interventions (PCI)
Thrombus Aspiration and Balloon Pumps in Cardiogenic Shock – What's the Bottom Line? - Dr. Yousif Ahmad
Summary
Yousif Ahmad discusses adjunctive treatments for ACS in the catheter laboratory such as thrombus aspiration and balloon pumps (IABP)
- When and when not to use
- Real benefits and justification...
Summary
Yousif Ahmad discusses adjunctive treatments for ACS in the catheter laboratory such as thrombus aspiration and balloon pumps (IABP)
- When and when not to use
- Real benefits and justification for thrombus aspiration and IABP use following clinical trials results
Thrombus aspiration
- Theoretical advantages of thrombus aspiration
- Reduce Embolisation
- Reduce thrombus burden
- Reduce no-reflow
- Visualise anatomy better
- Facilitate direct stenting
- Facilitate shorter stents
- TOTAL - No mortality benefit. But, numerically small, but significantly small increase in stroke with thrombus aspiration.
- Class III recommendation in USA for routine use of aspiration. This suggests that it is of no certain benefit, and maybe harmful.
Intra-arterial balloon pump (IABP)
- Theoretical benefits in cardiogenic shock
- Decrease afterload
- Increase diastolic coronary perfusion
- Augment blood pressure
- Previously considered class I indication for treatment of shock, now (2016) Class III indication.
- No evidence of benefit in randomised trials
- No evidence of benefit in observational trials
Simple Education, is a leading provider of coronary physiology and intracoronary imaging courses to aid treatment of complex coronary artery disease.