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4.6 - Principles of Mechanical Circulatory Support in the Acute Setting

from Section 4 - Therapeutic Interventions and Organ Support

Published online by Cambridge University Press:  27 July 2023

By
Susanna Price  and
Stephane Ledot
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Mechanical circulatory support is not a treatment per se.

  2. 2. Treating the underlying cause for cardiogenic shock is vital.

  3. 3. Early discussion and referral provide the best chance for a successful outcome.

  4. 4. Matching the patient and the device demands significant expertise.

  5. 5. High-quality evidence for benefit is lacking.

Keywords

mechanical circulatory supportcardiogenic shockVA ECMOpercutaneous left or right ventricular assist deviceintra-aortic balloon pump
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 492 - 494
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Brechot, N, Luyt, CE, Scmodt, M, et al. Venoarterial extracorporeal membrane oxygenation support for refractory cardiovascular dysfunction during severe bacterial septic shock. Crit Care Med 2013;41:1616–26.Google Scholar
Corsi, F, Lebreton, G, Brechot, N, et al. Life-threatening massive pulmonary embolism rescued by venoarterial extracorporeal membrane oxygenation. Crit Care 2017;21:76.CrossRefGoogle ScholarPubMed
Ponikowski, P, Voors, AA, Anker, SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2016;37:2129–200.CrossRefGoogle ScholarPubMed
Stub, D, Bernard, S, Pellegrino, V, et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 2015;86:88–94.Google Scholar
Van Herck, JL, Claeys, MJ, De Paep, R, et al. Management of cardiogenic shock complicating acute myocardial infarction. Eur Heart J Acute Cardiovasc Care 2015;4:278–97.CrossRefGoogle ScholarPubMed

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