Acute Mechanical Circulatory Support for Cardiogenic Shock

Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):27-35. doi: 10.14797/mdcj-16-1-27.

Abstract

Cardiogenic shock is associated with significant morbidity and mortality, and clinicians have increasingly used short-term mechanical circulatory support (MCS) over the last 15 years to manage outcomes. In general, the provision of greater hemodynamic support comes with device platforms that are more complex and potentially associated with more adverse events. In this review, we compare and contrast the available percutaneous and surgically placed device types used in cardiogenic shock and discuss the associated clinical and hemodynamic data to support device use.

Keywords: CentriMag; ECMO; Impella; TandemHeart; cardiogenic shock; extracorporeal membrane oxygenation; intra-aortic balloon pump; mechanical circulatory support.

Publication types

  • Review

MeSH terms

  • Extracorporeal Membrane Oxygenation / adverse effects
  • Extracorporeal Membrane Oxygenation / instrumentation*
  • Extracorporeal Membrane Oxygenation / mortality
  • Heart-Assist Devices*
  • Hemodynamics*
  • Humans
  • Intra-Aortic Balloon Pumping / adverse effects
  • Intra-Aortic Balloon Pumping / instrumentation*
  • Intra-Aortic Balloon Pumping / mortality
  • Oxygenators, Membrane*
  • Recovery of Function
  • Risk Factors
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / mortality
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome
  • Ventricular Function*