{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T16:22:31Z","timestamp":1762014151154,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The utilization of mechanical circulatory support (MCS) for percutaneous coronary intervention (PCI) using percutaneous ventricular assist device (PVAD) or intra\u2010aortic balloon pump (IABP) has been increasing. We sought to evaluate the outcome of coronary intervention using PVAD compared with IABP in noncardiogenic shock and nonacute myocardial infarction patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Using the National Inpatient Sampling (NIS) database from 2005 to 2014, we identified patients who underwent PCI using ICD 9 codes. Patients with cardiogenic shock, acute coronary syndrome, or acute myocardial infarction were excluded. Patient was stratified based on the MCS used, either to PVAD or IABP. Univariate and multivariate logistic regression were performed to study PCI outcome using PVAD compared with IABP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 21,848 patients who underwent PCI requiring MCS, 17,270 (79.0%) patients received IABP and 4,578 (21%) patients received PVAD. PVAD patients were older (69 vs. 67, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), were less likely to be women (23.3% vs. 33.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), and had higher rates of hypertension, diabetes, hyperlipidemia prior PCI, prior coronary artery bypass graft surgery, anemia, chronic lung disease, liver disease, renal failure, and peripheral vascular disease compared with IABP group (<jats:italic>p<\/jats:italic>\u2009\u2264\u2009.007). Using Multivariate logistic regression, PVAD patients had lower in\u2010hospital mortality (6.1% vs. 8.8%, adjusted odds ratio [aOR] 0.62; 95% CI 0.51, 0.77, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), vascular complications (4.3% vs. 7.5%, aOR 0.78; 95% CI 0.62, 0.99, <jats:italic>p<\/jats:italic> = .046), cardiac complications (5.6% vs. 14.5%, aOR 0.29; 95% CI 0.24, 0.36, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), and respiratory complications (3.8% vs. 9.8%, aOR 0.37; 95% CI 0.28, 0.48, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) compared with patients who received IABP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite higher comorbidities, nonemergent PCI procedures using PVAD were associated with lower mortality compared with IABP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28383","type":"journal-article","created":{"date-parts":[[2019,6,29]],"date-time":"2019-06-29T04:55:02Z","timestamp":1561784102000},"page":"503-512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes of nonemergent percutaneous coronary intervention requiring mechanical circulatory support in patients without cardiogenic shock"],"prefix":"10.1002","volume":"95","author":[{"given":"Yasser","family":"Al\u2010khadra","sequence":"first","affiliation":[{"name":"Cleveland Clinic, Medicine Institute  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Chadi","family":"Alraies","sequence":"additional","affiliation":[{"name":"Wayne State University, Detroit Medical Center, Detroit Heart Hospital  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahed","family":"Darmoch","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center\/Harvard Medical School  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Homam M.","family":"Pacha","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center  Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Soud","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center  Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Kaki","sequence":"additional","affiliation":[{"name":"St John Hospital and Medical Center  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanveer","family":"Rab","sequence":"additional","affiliation":[{"name":"Emory University  Atlanta Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy L.","family":"Grines","sequence":"additional","affiliation":[{"name":"Zucker School of Medicine at Hofstra Northwell Health, Northshore University Hospital  Manhasset New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pewaiz","family":"Meraj","sequence":"additional","affiliation":[{"name":"Zucker School of Medicine at Hofstra Northwell Health, Northshore University Hospital  Manhasset New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaldoon","family":"Alaswad","sequence":"additional","affiliation":[{"name":"Henry Ford Health System  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun S.","family":"Kwok","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Keele University  Stoke\u2010on\u2010Trent UK"},{"name":"Royal Stoke University Hospital  Stoke\u2010on\u2010Trent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamas","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Keele University  Stoke\u2010on\u2010Trent UK"},{"name":"Royal Stoke University Hospital  Stoke\u2010on\u2010Trent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Kapadia","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Medicine Institute  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.08.014"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.12.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20339"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.10.037"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2006.02.024"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.11.045"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.098194"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12254"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000336"},{"key":"e_1_2_6_12_1","unstructured":"Overview of the National (Nationwide) Inpatient Sample (NIS).https:\/\/www.hcup\u2010us.ahrq.gov\/nisoverview.jsp. 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