Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jan-Mar;16(1):27-35.
doi: 10.14797/mdcj-16-1-27.

Acute Mechanical Circulatory Support for Cardiogenic Shock

Kartik S Telukuntla  1 , Jerry D Estep  1
Affiliations
Review

Acute Mechanical Circulatory Support for Cardiogenic Shock

Kartik S Telukuntla et al. Methodist Debakey Cardiovasc J. 2020 Jan-Mar.

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.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosure: Dr. Estep is a medical advisor to Medtronic Inc. and a consultant for Abbott.

Figures

Figure 1.
Figure 1.
Schematic drawing of current commercially available percutaneous mechanical support devices for cardiogenic shock. On the left are devices for right ventricular support, and on the right are those for left ventricular support. (a) Impella® RP, (b) TandemHeart™ RA-PA (right atrium–pulmonary artery), (c) venoarterial (VA) extracorporeal membrane oxygenation (ECMO), (d) intra-aortic balloon pump, (e) Impella, (f) TandemHeart. Adapted from H. Thiele et al. with permission from Oxford University Press.
Figure 2.
Figure 2.
Percutaneous intra-aortic balloon pump in axillary/subclavian position permits ambulation.
See this image and copyright information in PMC

References

    1. Hochman JS, Sleeper LA, Webb JG et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med. 1999 Aug 26;341(9):625–34. - PubMed
    1. Puymirat E, Fagon JY, Aegerter P et al. Cardiogenic shock in intensive care units: evolution of prevalence, patient profile, management and outcomes, 1997–2012. Eur J Heart Fail. 2017 Feb;19(2):192–200. Collège des Utilisateurs de Bases de données en Réanimation (CUB-Réa Group [Intensive Care Database User Group]) - PubMed
    1. Ouyang D, Gulati G, Ha R, Banerjee D. Incidence of temporary mechanical circulatory support before heart transplantation and impact on post-transplant outcomes. J Heart Lung Transplant. 2018 Sep 1;37(9):1060–6. - PubMed
    1. Shah M, Patnaik S, Patel B et al. Trends in mechanical circulatory support use and hospital mortality among patients with acute myocardial infarction and non-infarction related cardiogenic shock in the United States. Clin Res Cardiol. 2018 Apr;107(4):287–303. - PubMed
    1. Thiele H, Ohman EM, de Waha-Thiele S, Zeymer U, Desch S. Management of cardiogenic shock complicating myocardial infarction: an update 2019. Eur Heart J. 2019 Aug 21;40(32):2671–83. - PubMed

MeSH terms

LinkOut - more resources