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Heart failure clinics · Jul 2016
ReviewTemporary Percutaneous Mechanical Circulatory Support in Advanced Heart Failure.
- Jessica L Brown and Jerry D Estep.
- Houston Methodist Hospital, 6550 Fannin Street, Suite 1901, Houston, TX 77030, USA.
- Heart Fail Clin. 2016 Jul 1; 12 (3): 385-98.
AbstractCardiogenic shock is severe, refractory heart failure caused by significant myocardial dysfunction in the setting of adequate preload that is accompanied by systemic hypoperfusion. Progressive end-organ dysfunction is a hallmark of persistent cardiogenic shock and necessitates intervention to overcome altered hemodynamics and restore end-organ perfusion. Temporary percutaneous mechanical circulatory support is an established modality in the treatment of cardiogenic shock and is increasingly used in patients with cardiogenic shock as a bridge to recovery or further definitive therapy. This article reviews the current devices, their effects on left ventricular hemodynamics, and the evidence supporting their continued use. Copyright © 2016 Elsevier Inc. All rights reserved.
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