Complex interventions in the failing heart

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved..

PURPOSE OF REVIEW: Heart failure is a complex clinical syndrome with a substantial disease burden. We aim to review the interventional aspects of management of advanced heart failure, focusing on the role of management of coronary artery disease, valvular heart disease, and mechanical circulatory support.

RECENT FINDINGS: The patients with coronary artery disease and heart failure requiring revascularization are at higher risk than the rest of the general population. Coronary artery bypass grafting or percutaneous intervention can be used depending on varied patient characteristics and coronary anatomy. Transcatheter aortic valve implantation, Mitraclip and transcatheter ventricular restoration help in tackling the valvular and left ventricular remodeling concerns often seen in this patient population. Temporary hemodynamic circulatory support helps stabilizing patients in cardiogenic shock while long-term support can help bridge them to more definitive therapies.

SUMMARY: The management strategies in this disease state are ever evolving with robust evidence coming in support of interventional therapies whenever deemed appropriate. It is the multidisciplinary patient-centered approach, which yields maximum benefit out of these complex interventions.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Current opinion in organ transplantation - 26(2021), 3 vom: 01. Juni, Seite 267-272

Sprache:

Englisch

Beteiligte Personen:

Bath, Anandbir S [VerfasserIn]
Raja, Joel [VerfasserIn]
Maturana, Miguel A [VerfasserIn]
Khouzam, Rami N [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Review

Anmerkungen:

Date Completed 29.09.2021

Date Revised 11.07.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/MOT.0000000000000877

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324915608