Piston pressurized aircraft require power to maintain pressurization. If you think about it, let's say your cabin pressure is 6,000 ft. That's roughly 24". That means that you need to have 24" ahead of the throttle butterfly (really a bit more than with losses/leakages) in order to maintain 24" in the cabin. If you pull the throttles to idle, you won't have that - usually the throttle butterfly is responsible for a couple inches of loss, so you'd still need to have somewhere in the low to mid 20s manifold pressure minimum to maintain that cabin. If you pulled back below that, you'd lose some (but not all) pressurization.
Turbine powered aircraft (at least the ones I've flown) have enough bleed air even at flight idle to maintain pressurization. So you can pull the power back.
The impacts of this depend on the specific airplane. In the 414, I can maintain cruise power, do a 1,500 FPM descent, and still be around Vno. If I pull a little power out, it's easy to do 2,000-2,500 FPM down. I actually end up spending less time in descent than I did in the 310 since the 310 hit Vno very quickly.
I would ask IV-P pilots how they plan their descents. I would think on that plane you'd want speed brakes and a well planned descent.