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Chapter 14 - Mechanical Circulatory Support

Published online by Cambridge University Press:  24 October 2022

By
Jason M Ali ,
Ayyaz Ali  and
Yasir Abu-Omar
Edited by
Florian Falter ,
Albert C. Perrino, Jr  and
Robert A. Baker
Florian Falter
Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr
Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker
Affiliation:
Flinders Medical Centre, Adelaide
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Summary

Over the last decade there has been a significant increase in the utilization of mechanical circulatory support (MCS) devices. Advanced MCS devices are commonplace in the cardiothoracic intensive care. The indications for their use have broadened to include the prophylactic use in high-risk percutaneous coronary interventions or surgery, as an adjunct to cardiopulmonary and as part of the routine management of intractable cardiogenic shock. MCS are typically classified as either temporary or durable and will be discussed in this chapter.

Keywords

Inta-aortic Balloon PumpExtra-corporeal Membrane OxygenationVentricular Assist DevicesBridge to TransplantationDestination TherapyClinical Outcomes
Type
Chapter
Information
Cardiopulmonary Bypass , pp. 138 - 149
Publisher: Cambridge University Press
Print publication year: 2022

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References

Suggested Further Reading

Hajjar, LA, Teboul, J-L. Mechanical circulatory support devices for cardiogenic shock: state of the art. Critical care. BioMed Central; March 9, 2019;23(1):76–110.Google Scholar
Schramm, R, Morshuis, M, Schoenbrodt, M et al. Current perspectives on mechanical circulatory support. Eur J Cardiothorac Surg. June 1, 2019;55(Supplement_1):i31–37.CrossRefGoogle ScholarPubMed
Ali, J, Vuylsteke, A. Extracorporeal membrane oxygenation: indications, technique and contemporary outcomes. Heart. September, 2019;105(18):1437–1443.CrossRefGoogle ScholarPubMed
Cheng, R, Hachamovitch, R, Kittleson, M et al. Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest: a meta-analysis of 1,866 adult patients. Ann Thorac Surg. 2013 ed. February, 2014;97(2):610–616.CrossRefGoogle Scholar
Glazier, JJ, Kaki, A. The Impella device: historical background, clinical applications and future directions. Int J Angiol. Thieme Medical Publishers; June, 2019;28(2):118–123.Google ScholarPubMed
Thiele, H, Jobs, A, Ouweneel, DM et al. Percutaneous short-term active mechanical support devices in cardiogenic shock: a systematic review and collaborative meta-analysis of randomized trials. European heart journal. December 14, 2017;38(47):3523–3531.Google Scholar
Subramaniam, AV, Barsness, GW, Vallabhajosyula, S et al. Complications of temporary percutaneous mechanical circulatory support for cardiogenic shock: an appraisal of contemporary literature. Cardiol Ther. Springer Healthcare; December, 2019;8(2):211–228.CrossRefGoogle ScholarPubMed
Borisenko, O, Wylie, G, Payne, J et al. Thoratec CentriMag for temporary treatment of refractory cardiogenic shock or severe cardiopulmonary insufficiency: a systematic literature review and meta-analysis of observational studies. ASAIO J. September, 2014 ;60(5):487–497.CrossRefGoogle ScholarPubMed
Nagpal, AD, Singal, RK, Arora, RC et al. Temporary mechanical circulatory support in cardiac critical care: a state of the art review and algorithm for device selection. Can J Cardiol. January, 2017;33(1):110–118.CrossRefGoogle ScholarPubMed
Kirklin, JK, Pagani, FD, Kormos, RL et al. Eighth annual INTERMACS report: special focus on framing the impact of adverse events. The Journal of Heart and Lung Transplantation : the official publication of the International Society for Heart Transplantation. October, 2017;36(10):1080–1086.CrossRefGoogle ScholarPubMed

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