CHIP Updates Series
Notes from the Editors: CHIP newsletter highlights
BY SANJOG KALRA | JUNE 2, 2021
This month’s TCTMD CHIP newsletter brings us great content for two particularly challenging patient subsets: those with cardiogenic shock and those undergoing left main PCI. We begin with a detailed and critical review of the rationale and data supporting catheter-based hemodynamic support options for high-risk PCI by David Kandzari, MD (Piedmont Heart Institute, Atlanta, GA). In his lecture, Kandzari carefully reviews the various support options as well as best-practice techniques to achieve optimal outcomes with their use. Thereafter, Mark Anderson, MD (Hackensack University Medical Center, NJ), reviews important real-world data supporting the use of right ventricular support devices for the treatment of right ventricular shock (an underrecognized mechanism) and discusses careful hemodynamic assessment as the backbone of cardiogenic shock decision-making.
Switching gears to left main PCI, Gregg Stone, MD (Icahn School of Medicine at Mount Sinai, New York, NY), performs an exceptional review of the early and late outcomes of left main PCI from the SYNTAX, PRECOMBAT, NOBLE, and EXCEL studies. In his lecture, Stone establishes the current state of knowledge in this highly controversial area of revascularization therapy, synthesizing a balance between surgical and interventional approaches for this challenging lesion subset. Finally, Jeffrey W. Moses, MD (Columbia University Medical Center, New York, NY), presents his thoughtful approach to selecting high-risk left main PCI patients in whom mechanical circulatory support use should be considered to facilitate safe therapy and optimal outcomes.
This month, our CHIP Updates series features a unique conversation with William Lombardi, MD (University of Washington Medical Center, Seattle), a world expert in high-risk and chronic total occlusion PCI. In his interview with Robert Riley, MD (The Christ Hospital, Cincinnati, OH), Lombardi discusses a critically important but underrecognized influence: operator psychology. In his honest comments, he gives voice to the personal challenges and costs involved in learning to be a complex operator and developing a successful complex PCI program (including some of what he has had to face along his journey). He discusses the characteristics of successful operators in this group and highlights the need to introspect and self-motivate while traveling on the “Road to Excellence.” This incredibly revealing interview is truly not to be missed!
Thank you for your continued support as we strive to offer you the best and most up-to-date content for our CHIP community.
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