Publication/Presentation Date
5-19-2015
Abstract
Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability. This document reviews the physiologic impact on the circulation of these devices and their use in specific clinical situations. These situations include patients undergoing high-risk percutaneous coronary intervention, those presenting with cardiogenic shock, and acute decompensated heart failure. Specialized uses for right-sided support and in pediatric populations are discussed and the clinical utility of mechanical circulatory support devices is reviewed, as are the American College of Cardiology/American Heart Association clinical practice guidelines.
Volume
65
Issue
19
First Page
2140
Last Page
2141
ISSN
1558-3597
Published In/Presented At
Rihal, C. S., Naidu, S. S., Givertz, M. M., Szeto, W. Y., Burke, J. A., Kapur, N. K., & ... Tu, T. (2015). 2015 SCAI/ACC/HFSA/STS Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Association, the Cardiological Society of India, and Sociedad Latino Americana de Cardiología Intervencionista; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention. Journal Of The American College Of Cardiology, 65(19), 2140-2141. doi:10.1016/j.jacc.2015.02.043
Disciplines
Cardiology | Diseases | Medical Sciences | Medical Specialties | Medicine and Health Sciences
PubMedID
25861962
LVHN link
http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=25861962&site=ehost-live&scope=site&authtype=uid&user=lvhnlibrary1&password=Library1
Peer Reviewed for front end display
Peer-Reviewed
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article
Included in
Cardiology Commons, Diseases Commons, Medical Sciences Commons