Temporary Mechanical Circulatory Support: Left, Right, and Biventricular Devices.

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X19666230314115853
Michael Dangl, Michael Albosta, Hoda Butros, Matthias Loebe
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Abstract

Temporary mechanical circulatory support (MCS) encompasses a wide array of invasive devices, which provide short-term hemodynamic support for multiple clinical indications. Although initially developed for the management of cardiogenic shock, indications for MCS have expanded to include prophylactic insertion prior to high-risk percutaneous coronary intervention, treatment of acute circulatory failure following cardiac surgery, and bridging of end-stage heart failure patients to more definitive therapies, such as left ventricular assist devices and cardiac transplantation. A wide variety of devices are available to provide left ventricular, right ventricular, or biventricular support. The choice of a temporary MCS device requires consideration of the clinical scenario, patient characteristics, institution protocols, and provider familiarity and training. In this review, the most common forms of left, right, and biventricular temporary MCS are discussed, along with their indications, contraindications, complications, cannulations, hemodynamic effects, and available clinical data.

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临时机械循环支持:左心室、右心室和双心室装置。
临时机械循环支持(MCS)包括一系列侵入性设备,为多种临床适应症提供短期血液动力学支持。尽管最初是为治疗心源性休克而开发的,但MCS的适应症已经扩展到包括在高风险经皮冠状动脉介入治疗前预防性插入、心脏手术后急性循环衰竭的治疗,以及将终末期心力衰竭患者桥接到更明确的治疗方法,例如左心室辅助装置和心脏移植。多种装置可用于提供左心室、右心室或双心室支持。选择临时MCS设备需要考虑临床情况、患者特征、机构协议以及提供者的熟悉程度和培训。在这篇综述中,讨论了最常见的左心室、右心室和双心室临时MCS形式,以及它们的适应症、禁忌症、并发症、插管、血液动力学影响和可用的临床数据。
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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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