Mechanical Circulatory Support: When and How to Use It

被引：0
作者：
Kanduri, Jaya [1 ]
Axman, Rachel [1 ]
Lu, Daniel Y. [1 ,2 ]
Feldman, Dmitriy N. [1 ,2 ]
Kim, Luke K. [1 ,2 ]
机构：
[1] New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Med, Div Cardiol, 520 East 70th St, New York, NY 10021 USA
[2] Weill Cornell Med Coll, Weill Cornell Cardiovasc Outcomes Res Grp CORG, New York, NY USA
来源：
CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE | 2023年 / 25卷 / 05期
关键词：
Mechanical circulatory support; Cardiogenic shock Heart failure; Percutaneous left ventricular assist device; Intra-aortic balloon pump; Extracorporeal membrane oxygenation; ACUTE MYOCARDIAL-INFARCTION; VENTRICULAR ASSIST DEVICE; INTRAAORTIC BALLOON PUMP; EXTRACORPOREAL MEMBRANE-OXYGENATION; PERCUTANEOUS CORONARY INTERVENTION; RANDOMIZED CLINICAL-TRIAL; HOSPITAL CARDIAC-ARREST; CARDIOGENIC-SHOCK; HEART-FAILURE; IMPELLA; 2.5;
D O I：
10.1007/s11936-023-00980-x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of review The goal of this review is to provide the reader with a summary of the percutaneous mechanical circulatory support (MCS) devices currently used in clinical practice. Recent findings Although there are limited data for MCS including intra-aortic balloon pump (IABP), percutaneous left ventricular (LV) micro-axial pump (Impella), percutaneous left ventricular (LV) centrifugal pump (TandemHeart), VA-extracorporeal membrane oxygenation (VA-ECMO), and right ventricular (RV) support (Impella RP, Protek Duo), these devices are frequently employed in clinical practice. Guidelines largely support the use of MCS in refractory ischemic and non-ischemic cardiogenic shock (CS). However, the literature to support MCS use is limited, especially in the setting of high-risk PCI. Ongoing randomized clinical trials of these devices will help to provide supportive data for MCS utilization in various clinical settings.
引用
收藏
页码：111 / 126
页数：16
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