Management of temporary mechanical circulatory support devices in cath-lab and cardiac intensive care unit.
Federico FortuniFilippo ZilioGianmarco IannopolloGiuseppe CilibertiPaolo TrambaioloLaura CerielloFrancesca MusellaPietro ScicchitanoStefano AlbaniStefania Angela Di FuscoMichele Massimo GuliziaDomenico GabrielliFabrizio OlivaFurio ColivicchiPublished in: European heart journal. Imaging methods and practice (2023)
Different temporary mechanical circulatory support (tMCS) devices are available and can be used to maintain end-organ perfusion while reducing cardiac work and myocardial oxygen demand. tMCS can provide support to the right ventricle, left ventricle, or both, and its use can be considered in emergency situations such as cardiogenic shock or in elective procedures such as high-risk percutaneous coronary intervention to prevent haemodynamic deterioration. Invasive and, most importantly, non-invasive haemodynamic parameters should be taken into account when choosing the type of tMCS device and its initiation and weaning timing, determining the need for a device upgrade, and screening for complications. In this context, ultrasound tools, specifically echocardiography, can provide important data. This review aims to provide a description of the different tMCS devices, the invasive and non-invasive tools and parameters to guide their management, and their advantages and drawbacks.
Keyphrases
- left ventricular
- intensive care unit
- pulmonary hypertension
- percutaneous coronary intervention
- mitral valve
- mechanical ventilation
- pulmonary artery
- emergency department
- magnetic resonance imaging
- public health
- extracorporeal membrane oxygenation
- acute coronary syndrome
- healthcare
- coronary artery disease
- computed tomography
- st segment elevation myocardial infarction
- heart failure
- coronary artery
- antiplatelet therapy
- risk factors
- coronary artery bypass grafting
- contrast enhanced
- congenital heart disease
- acute respiratory distress syndrome
- machine learning
- ultrasound guided
- big data
- contrast enhanced ultrasound
- emergency medical