Journal
CARDIOLOGY AND THERAPY
Volume 8, Issue 2, Pages 211-228Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s40119-019-00152-8
Keywords
Cardiogenic shock; Complications; Impella; Intra-aortic balloon pump; Mechanical circulatory support; TandemHeart; Veno-arterial extracorporeal membrane oxygenation
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Funding
- Clinical and Translational Science Award (CTSA) from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH) [UL1 TR000135]
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Cardiogenic shock (CS) is associated with hemodynamic compromise and end-organ hypoperfusion due to a primary cardiac etiology. In addition to vasoactive medications, percutaneous mechanical circulatory support (MCS) devices offer the ability to support the hemodynamics and prevent acute organ failure. Despite the wide array of available MCS devices for CS, there are limited data on the complications from these devices. In this review, we seek to summarize the complications of MCS devices in the contemporary era. Using a systems-based approach, this review covers domains of hematological, neurological, vascular, infectious, mechanical, and miscellaneous complications. These data are intended to provide a balanced narrative and aid in risk-benefit decision-making in this acutely ill population.
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