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Clinical Medicine Insights: Cardiology

Temporary Mechanical Circulatory Support: A Review of the Options, Indications, and Outcomes

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Clinical Medicine Insights: Cardiology 2014:Suppl. 1 75-85

Review

Published on 03 Feb 2015

DOI: 10.4137/CMC.S15718


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Abstract

Cardiogenic shock remains a challenging disease entity and is associated with significant morbidity and mortality. Temporary mechanical circulatory support (MCS) can be implemented in an acute setting to stabilize acutely ill patients with cardiomyopathy in a variety of clinical situations. Currently, several options exist for temporary MCS. We review the indications, contraindications, clinical applications, and evidences for a variety of temporary circulatory support options, including the intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO), CentriMag blood pump, and percutaneous ventricular assist devices (pVADs), specifically the TandemHeart and Impella.



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