Currently Available Options for Mechanical Circulatory Support for the Management of Cardiogenic Shock

被引：3

作者：

Wegermann, Zachary K. ^{[1
]}

Rao, Sunil, V ^{[1
]}

机构：

[1] Duke Univ, Duke Clin Res Inst, Div Cardiol, Med Ctr, 200 Morris St, Durham, NC 27710 USA

来源：

CARDIOLOGY CLINICS | 2020年 / 38卷 / 04期

关键词：

Cardiogenic shock; Mechanical circulatory support; Myocardial infarction; Advanced heart failure; EXTRACORPOREAL LIFE-SUPPORT; ACUTE MYOCARDIAL-INFARCTION; VENTRICULAR ASSIST DEVICE; INTRAAORTIC BALLOON PUMP; HOSPITAL CARDIAC-ARREST; PERCUTANEOUS CORONARY INTERVENTION; RANDOMIZED CLINICAL-TRIAL; ST-SEGMENT ELEVATION; MEMBRANE-OXYGENATION; HEART-FAILURE;

D O I：

10.1016/j.ccl.2020.06.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiogenic shock (CS) is a complex condition with a high risk for morbidity and mortality. Mechanical circulatory support (MCS) devices were developed to support patients with CS in cases refractory to treatment with vasoactive medications. Current devices include intra-aortic balloon pumps, intravascular microaxial pumps, percutaneous LVAD, percutaneous RVAD, and VA ECMO. Data from limited observational studies and clinical trials show a clear difference in the level of hemodynamic support offered by each device. However, at this point, there are insufficient clinical trial data to guide MCS selection and, until ongoing clinical trials are completed, use of the right device for the right patient depends largely on clinical judgment. © 2020 Elsevier Inc.

引用

页码：527 / 542

页数：16

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