Mechanical circulatory devices in acute heart failure

Jeffrey J Teuteberg; Josephine C Chou

doi:10.1016/j.ccc.2014.04.002

Mechanical circulatory devices in acute heart failure

Crit Care Clin. 2014 Jul;30(3):585-606. doi: 10.1016/j.ccc.2014.04.002.

Authors

Jeffrey J Teuteberg¹, Josephine C Chou²

Affiliations

¹ Heart and Vascular Institute, University of Pittsburgh Medical Center, Scaife Hall, Suite 556, 200 Lothrop Street, Pittsburgh, PA 15213, USA. Electronic address: teutebergjj@upmc.edu.
² Heart and Vascular Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, B-571.3 Scaife Hall, Pittsburgh, PA 15213, USA.

PMID: 24996610
DOI: 10.1016/j.ccc.2014.04.002

Abstract

Cardiogenic shock remains a leading cause of mortality despite advances in the treatment of myocardial infarction and advanced heart failure. Medical therapy can be inadequate, and patients may need mechanical circulatory support (MCS). The proper application of MCS requires knowledge of the underlying cause of acute heart failure, familiarity with the circulatory support devices, and the potential benefits and limitations of device therapy. This article describes the most commonly used temporary ventricular assist devices and their use in the various causes of cardiogenic shock.

Keywords: Acute heart failure; Cardiogenic shock; Mechanical circulatory support; Ventricular assist device.

Publication types

Review

MeSH terms

Assisted Circulation / instrumentation*
Assisted Circulation / standards
Equipment Design
Heart Failure / complications*
Heart Failure / diagnosis
Heart Failure / therapy*
Heart-Assist Devices*
Humans
Practice Guidelines as Topic
Shock, Cardiogenic / etiology*
Shock, Cardiogenic / therapy*