Temporary Mechanical Circulatory Support as a Bridge to Heart Transplant or Durable Left Ventricular Assist Device

Sonali Arora, Auras R. Atreya, Edo Y. Birati, Supriya Shore

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Advanced heart failure refractory to medical therapy can result in patients presenting with progressively worsening hypoperfusion and cardiogenic shock. Temporary mechanical circulatory support is often necessary as a bridge to heart transplant or durable ventricular assist devices. These devices increase cardiac output. Several options are available for left ventricular support. With the exception of venoarterial extracorporeal membrane oxygenation, all other devices decrease left ventricular end-diastolic pressure. The choice of device should be driven by patient needs and the treating teams comfort. Timely identification of cardiogenic shock and use of shock teams are potential strategies that can help improve survival.

Original languageEnglish
Pages (from-to)235-249
Number of pages15
JournalInterventional Cardiology Clinics
Volume10
Issue number2
DOIs
StatePublished - Apr 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 Elsevier Inc.

Keywords

  • Cardiogenic shock
  • CentriMag
  • ECMO
  • End-stage heart failure
  • IABP
  • Impella
  • ProtekDuo
  • Rotaflow
  • TandemHeart

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