Personalizing Mechanical Circulatory Support for Cardiogenic Shock: A Review and Comparison of Current Devices

被引:0
作者
Fujiuchi, Bradley [1 ]
Benavente, Kevin [1 ]
Virk, Hafeez Ul Hassan [2 ]
Alam, Mahboob [3 ]
Jentzer, Jacob C. [4 ,5 ]
Tedford, Ryan J. [6 ]
Diepen, Sean Van [7 ,8 ]
Krittanawong, Chayakrit [9 ]
机构
[1] Univ Hawaii, John A Burns Sch Med, Dept Med, Honolulu, HI USA
[2] Case Western Reserve Univ, Univ Hosp Cleveland Med Ctr, Harrington Heart & Vasc Inst, Cleveland, OH 44106 USA
[3] Texas Heart Inst, Baylor Coll Med, Houston, TX USA
[4] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA
[5] Mayo Clin, Dept Internal Med, Div Pulm & Crit Care Med, Rochester, MN USA
[6] Med Univ South Carolina, Dept Med, Div Cardiol, Charleston, SC USA
[7] Univ Alberta, Dept Crit Care Med, Dept Med, Edmonton, AB, Canada
[8] Univ Alberta, Dept Med, Div Cardiol, Edmonton, AB, Canada
[9] HumanX, Delaware, DE 19706 USA
关键词
ACUTE MYOCARDIAL-INFARCTION; INTRAAORTIC BALLOON SUPPORT; VENTRICULAR ASSIST DEVICE; HEART-FAILURE; COUNTERPULSATION; PUMP; NOREPINEPHRINE; PREDICTORS; MORTALITY; TRENDS;
D O I
10.1002/ccd.31698
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiogenic shock (CS) remains a high morbidity and mortality condition worldwide frequently complicating acute myocardial infarction (AMI) and decompensated heart failure (HF). Within the management of CS, mechanical circulatory support (MCS) devices play a critical role in maintaining hemodynamic stability, preserving end-organ perfusion and bridging patients through to recovery, implantation of durable support or transplantation. Despite their use, optimal timing of initiation, as well as patient and device selection remain unclear. This review explores the current landscape of MCS devices, surrounding evidence and key distinctions between devices. With increasing acknowledgment for the heterogeneity of CS, understanding the strengths and limitations of each device remains crucial to improving outcomes in this high-risk population.
引用
收藏
页码:1446 / 1458
页数:13
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