2015 SCAI/ACC/HFSA/STS Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention.

Citation data:

Journal of the American College of Cardiology, ISSN: 1558-3597, Vol: 65, Issue: 19, Page: e7-e26

Publication Year:
2015
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Repository URL:
https://academicworks.medicine.hofstra.edu/articles/1806; https://academicworks.medicine.hofstra.edu/articles/1809
PMID:
25861963
DOI:
10.1016/j.jacc.2015.03.036
Author(s):
Rihal, Charanjit S; Naidu, Srihari S; Givertz, Michael M; Szeto, Wilson Y; Burke, James A; Kapur, Navin K; Kern, Morton; Garratt, Kirk N; Goldstein, James A; Dimas, Vivian; Tu, Thomas; Society for Cardiovascular Angiography and Interventions (SCAI); Heart Failure Society of America (HFSA); Society of Thoracic Surgeons (STS); American Heart Association (AHA), and American College of Cardiology (ACC) Show More Hide
Publisher(s):
Elsevier BV
Tags:
Medicine; ACC Expert Consensus Document;; cardiogenic;; percutaneous coronary;; intervention;; shock;; ventricular assist device;; ventricular assist device;; intraaortic balloon pump;; extracorporeal;; membrane-oxygenation;; american-heart-association;; refractory;; cardiogenic-shock;; acute myocardial-infarction;; pulmonary;; arterial-hypertension;; coronary blood-flow;; impella 2.5;; hemodynamic;; support;; Cardiovascular System & Cardiology; American Heart Association/organization & administration;; Canada;; Cardiology/organization & administration;; Cardiovascular Diseases/*therapy;; Heart-Assist Devices/*utilization;; Humans;; India;; Latin America;; Practice Guidelines as Topic;; Societies; Medical/organization & administration;; United States;; ACC Expert Consensus Document;; cardiogenic;; percutaneous coronary intervention;; shock;; ventricular assist device; Cardiology
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article description
Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability. This document reviews the physiologic impact on the circulation of these devices and their use in specific clinical situations. These situations include patients undergoing high-risk percutaneous coronary intervention, those presenting with cardiogenic shock, and acute decompensated heart failure. Specialized uses for right-sided support and in pediatric populations are discussed and the clinical utility of mechanical circulatory support devices is reviewed, as are the American College of Cardiology/American Heart Association clinical practice guidelines.