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Heart failure clinics · Apr 2015
ReviewHemodynamic support with percutaneous devices in patients with heart failure.
- Navin K Kapur and Michele Esposito.
- The Cardiovascular Center, Tufts Medical Center, 800 Washington Street, BOX 80, Boston, MA 02111, USA. Electronic address: nkapur@tuftsmedicalcenter.org.
- Heart Fail Clin. 2015 Apr 1;11(2):215-30.
AbstractThe use of surgically implanted durable mechanical circulatory support (MCS) in high-risk patients with heart failure is declining and short-term, nondurable MCS device use is growing. Percutaneously delivered MCS options for advanced heart failure include the intra-aortic balloon pump, Impella axial flow catheter, TandemHeart centrifugal pump, and venoarterial extracorporeal membrane oxygenation. Nondurable MCS devices have unique implantation characteristics and hemodynamic effects. Algorithms and guidelines for optimal nondurable MCS device selection do not exist. Emerging technologies and applications will address the need for improved left ventricular unloading using lower-profile devices, longer-term ambulatory support, and the potential for myocardial recovery.Copyright © 2015 Elsevier Inc. All rights reserved.
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