Temporary Mechanical Circulatory Support in Cardiogenic Shock Patients after Cardiac Procedures: Selection Algorithm and Weaning Strategies.
Gaik NersesianSascha OttAlexander FardmanPia LanmuellerDaniel LewinAlexander BernhardtFabian EmrichGloria FärberGábor SzabóMehmet OezkurBernd PanholzerSebastian V RojasDiyar SaeedBastian SchmackGregor WarneckeDaniel ZimpferHerko GrubitzschVolkmar FalkEvgenij PotapovPublished in: Life (Basel, Switzerland) (2023)
Mechanical circulatory support has proven effective in managing postcardiotomy cardiogenic shock by stabilizing patients' hemodynamics and ensuring adequate organ perfusion. Among the available device modalities, the combination of extracorporeal life support and a microaxial flow pump for left ventricular unloading has emerged as a valuable tool in the surgical armamentarium. In this publication, we provide recommendations for the application and weaning of temporary mechanical circulatory support in cardiogenic shock patients, derived from a consensus among leading cardiac centers in German-speaking countries.
Keyphrases
- end stage renal disease
- left ventricular
- ejection fraction
- newly diagnosed
- prognostic factors
- peritoneal dialysis
- extracorporeal membrane oxygenation
- magnetic resonance
- heart failure
- machine learning
- computed tomography
- acute myocardial infarction
- magnetic resonance imaging
- patient reported outcomes
- mechanical ventilation
- aortic stenosis