000 01491nam a2200241 4500
001 ESSALUD
005 20260903095213.0
007 ta
008 t pe ||||| |||| 00| 0 spa d
040 _aBMG
041 _aeng
100 _aNallamothu, Brahmajee K.
_eAutor
_954519
245 _aPrice of protection — Microaxial flow pump in high-risk PCI
300 _apáginas: 1855-1856
520 _aIn the catheterization laboratory, the most consequential decisions are frequently not about whether to treat, but rather about how far to extend treatment. Nowhere is that tension more apparent than in high-risk percutaneous coronary intervention (PCI). In these cases, the margin between a good outcome and a catastrophic one is narrow, and the instinct to add protection with mechanical circulatory support can be powerful. Transient ischemia induced by balloon inflation or atherectomy can precipitate physiological collapse in patients with little reserve. Yet, to date, randomized trials have not supported routine use of mechanical circulatory support in cases other than cardiogenic shock.
650 _aCARDIOLOGÍA GENERAL
_953638
650 _aENFERMEDAD CORONARIA
_914895
650 _aINFARTO DE MIOCARDIO
_913202
650 _aSOPORTE CIRCULATORIO MECÁNICO
_954520
700 _aWanamaker, Brett L.
_954521
773 0 _022717
_922676
_dMassachusetts NEJM Group
_oNEJM015
_tThe New England Journal of Medicine
_wESSALUD
_x0028-4793
942 _cARTICULOS
_e2026-08-31
_zsqb
999 _c22917
_d22917