Temporary Mechanical Circulatory Support in Acute Heart Failure
Cardiogenic shock (CS) is a challenging syndrome, associated with significant morbidity and mortality. Although pharmacological therapies are successful and can successfully control this acute cardiac illness, some patients remain refractory to drugs. Therefore, a more aggressive treatment strategy...
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Radcliffe Medical Media
2020-03-01
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Series: | Cardiac Failure Review |
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doaj-3528f83205154d24b35ef1d0d2ed0d272021-10-09T16:02:11ZengRadcliffe Medical MediaCardiac Failure Review 2057-75402057-75592020-03-01610.15420/cfr.2019.02Temporary Mechanical Circulatory Support in Acute Heart FailureFederica Jiritano0Valeria Lo Coco1Matteo Matteucci2Dario Fina3Anne Willers4Roberto Lorusso5Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Cardiac Surgery Unit, University Magna Graecia of Catanzaro, Catanzaro, ItalyCardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsCardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, ItalyCardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; University of Milan, IRCCS Policlinico San Donato, Milan, ItalyCardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsCardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsCardiogenic shock (CS) is a challenging syndrome, associated with significant morbidity and mortality. Although pharmacological therapies are successful and can successfully control this acute cardiac illness, some patients remain refractory to drugs. Therefore, a more aggressive treatment strategy is needed. Temporary mechanical circulatory support (TCS) can be used to stabilise patients with decompensated heart failure. In the last two decades, the increased use of TCS has led to several kinds of devices becoming available. However, indications for TCS and device selection are part of a complex process. It is necessary to evaluate the severity of CS, any early and prompt haemodynamic resuscitation, prior TCS, specific patient risk factors, technical limitations and adequacy of resources and training, as well as an assessment of whether care would be futile. This article examines options for commonly used TCS devices, including intra-aortic balloon pumps, a pulsatile percutaneous ventricular assist device (the iVAC), veno-arterial extra-corporeal membrane oxygenation and Impella (Abiomed) and TandemHeart (LivaNova) percutaneous ventricular assist device.https://www.cfrjournal.com/articleindex/cfr.2019.02 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Federica Jiritano Valeria Lo Coco Matteo Matteucci Dario Fina Anne Willers Roberto Lorusso |
spellingShingle |
Federica Jiritano Valeria Lo Coco Matteo Matteucci Dario Fina Anne Willers Roberto Lorusso Temporary Mechanical Circulatory Support in Acute Heart Failure Cardiac Failure Review |
author_facet |
Federica Jiritano Valeria Lo Coco Matteo Matteucci Dario Fina Anne Willers Roberto Lorusso |
author_sort |
Federica Jiritano |
title |
Temporary Mechanical Circulatory Support in Acute Heart Failure |
title_short |
Temporary Mechanical Circulatory Support in Acute Heart Failure |
title_full |
Temporary Mechanical Circulatory Support in Acute Heart Failure |
title_fullStr |
Temporary Mechanical Circulatory Support in Acute Heart Failure |
title_full_unstemmed |
Temporary Mechanical Circulatory Support in Acute Heart Failure |
title_sort |
temporary mechanical circulatory support in acute heart failure |
publisher |
Radcliffe Medical Media |
series |
Cardiac Failure Review |
issn |
2057-7540 2057-7559 |
publishDate |
2020-03-01 |
description |
Cardiogenic shock (CS) is a challenging syndrome, associated with significant morbidity and mortality. Although pharmacological therapies are successful and can successfully control this acute cardiac illness, some patients remain refractory to drugs. Therefore, a more aggressive treatment strategy is needed. Temporary mechanical circulatory support (TCS) can be used to stabilise patients with decompensated heart failure. In the last two decades, the increased use of TCS has led to several kinds of devices becoming available. However, indications for TCS and device selection are part of a complex process. It is necessary to evaluate the severity of CS, any early and prompt haemodynamic resuscitation, prior TCS, specific patient risk factors, technical limitations and adequacy of resources and training, as well as an assessment of whether care would be futile. This article examines options for commonly used TCS devices, including intra-aortic balloon pumps, a pulsatile percutaneous ventricular assist device (the iVAC), veno-arterial extra-corporeal membrane oxygenation and Impella (Abiomed) and TandemHeart (LivaNova) percutaneous ventricular assist device. |
url |
https://www.cfrjournal.com/articleindex/cfr.2019.02 |
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