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Chapter 7
Hemodynamic Principles of Percutaneous Cardiac Support
David M. Weber, PhD

Introduction
Mechanical circulatory support in the cath lab evolved immediately following Gibbon’s pioneering work with roller pumps and early oxygenator systems in the early 1950’s, primarily developed for cardiac surgery. Since then, a variety of technologies have been introduced to provide cardiac support before, during and after percutaneous coronary intervention (PCI). This chapter describes the hemodynamic principles that underlie the function of these devices, identifies the primary differences in their mech- anisms of action, and discusses their relative hemodynamic impact with respect to proposed “ideal” goals of cardiac support in the cath lab.

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