CrossRef Open Access 2022 60 sitasi

A Comprehensive Review of Mechanical Circulatory Support Devices

Varunsiri Atti Division of Cardiovascular Diseases, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA Mahesh Anantha Narayanan Division of Cardiovascular Diseases, White River Health System, Batesville, AK, USA Brijesh Patel +9 lainnya

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Abstrak

Treatment strategies to combat cardiogenic shock (CS) have remained stagnant over the past decade. Mortality rates among patients who suffer CS after acute myocardial infarction (AMI) remain high at 50%. Mechanical circulatory support (MCS) devices have evolved as novel treatment strategies to restore systemic perfusion to allow cardiac recovery in the short term, or as durable support devices in refractory heart failure in the long term. Haemodynamic parameters derived from right heart catheterization assist in the selection of an appropriate MCS device and escalation of mechanical support where needed. Evidence favouring the use of one MCS device over another is scant. An intra-aortic balloon pump is the most commonly used short-term MCS device, despite providing only modest haemodynamic support. Impella CP® has been increasingly used for CS in recent times and remains an important focus of research for patients with AMI-CS. Among durable devices, Heartmate® 3 is the most widely used in the USA. Adequately powered randomized controlled trials are needed to compare these MCS devices and to guide the operator for their use in CS. This article provides a brief overview of the types of currently available MCS devices and the indications for their use.

Penulis (14)

Varunsiri Atti

Division of Cardiovascular Diseases, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA

Mahesh Anantha Narayanan

Division of Cardiovascular Diseases, White River Health System, Batesville, AK, USA

Brijesh Patel

Division of Cardiovascular Diseases, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA

Sudarshan Balla

Division of Cardiovascular Diseases, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA

Aleem Siddique

Division of Cardiothoracic Surgery, University of Nebraska Medical Center, Omaha, NE, USA

Scott Lundgren

Division of Cardiovascular Diseases, University of Nebraska Medical Center, Omaha, NE, USA

Poonam Velagapudi

Division of Cardiovascular Diseases, University of Nebraska Medical Center, Omaha, NE, USA

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Atti, V., USA, D.o.C.D.W.V.U.H.a.V.I.M.W., Narayanan, M.A., USA, D.o.C.D.W.R.H.S.B.A., Patel, B., USA, D.o.C.D.W.V.U.H.a.V.I.M.W. et al. (2022). A Comprehensive Review of Mechanical Circulatory Support Devices. https://doi.org/10.17925/hi.2022.16.1.37

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Informasi Jurnal

Tahun Terbit: 2022
Bahasa: en
Total Sitasi: 60×
Sumber Database: CrossRef
DOI: 10.17925/hi.2022.16.1.37
Akses: Open Access ✓