Liebetrau C, Eggebrecht H, Schmermund A
MVZ CCB am Agaplesion Bethanien Krankenhaus, Im Prüfling 23, 60389, Frankfurt a. M., Deutschland.
Herz. 2022 Dec;47(6):513-517. doi: 10.1007/s00059-022-05145-3. Epub 2022 Nov 4.
The interventional treatment of high-risk patients remains challenging and has a high potential for improvement despite all technical innovations. Mechanical circulatory support (MCS) systems can be meaningful depending on the clinical situation, although a clear study situation for this is so far lacking. Multivessel coronary disease and a high SYNTAX score combined with impaired ventricular function is a possible predictor combination for the use of MCS that justifies the higher risk of complications.
尽管有诸多技术创新，但高危患者的介入治疗仍然具有挑战性，且有很大的改进潜力。机械循环支持（MCS）系统根据临床情况可能具有重要意义，不过目前尚缺乏关于此的明确研究情况。多支冠状动脉疾病和高SYNTAX评分合并心室功能受损是使用MCS的一种可能的预测因素组合，这证明了并发症风险较高的合理性。
