Bridge to Life: Current Landscape of Temporary Mechanical Circulatory Support in Heart-Failure-Related Cardiogenic Shock.
Panayotis K VlachakisPanagiotis TheofilisIoannis LeontsinisMaria DrakopoulouPaschalis KarakasisEvaggelos OikonomouChristina ChrysohoouKonstantinos TsioufisDimitris TousoulisPublished in: Journal of clinical medicine (2024)
Acute heart failure (HF) presents a significant mortality burden, necessitating continuous therapeutic advancements. Temporary mechanical circulatory support (MCS) is crucial in managing cardiogenic shock (CS) secondary to acute HF, serving as a bridge to recovery or durable support. Currently, MCS options include the Intra-Aortic Balloon Pump (IABP), TandemHeart (TH), Impella, and Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO), each offering unique benefits and risks tailored to patient-specific factors and clinical scenarios. This review examines the clinical implications of recent advancements in temporary MCS, identifies knowledge gaps, and explores promising avenues for future research and clinical application. Understanding each device's unique attributes is crucial for their efficient implementation in various clinical scenarios, ultimately advancing towards intelligent, personalized support strategies.
Keyphrases
- extracorporeal membrane oxygenation
- acute heart failure
- respiratory failure
- acute respiratory distress syndrome
- heart failure
- climate change
- healthcare
- left ventricular
- primary care
- liver failure
- aortic valve
- cardiovascular events
- type diabetes
- aortic dissection
- quality improvement
- genome wide
- coronary artery
- hepatitis b virus
- current status
- pulmonary hypertension
- coronary artery disease