Management of temporary mechanical circulatory support devices in cath-lab and cardiac intensive care unit

Fortuni, Federico; Zilio, Filippo; Iannopollo, Gianmarco; Ciliberti, Giuseppe; Trambaiolo, Paolo; Ceriello, Laura; Musella, Francesca; Scicchitano, Pietro; Albani, Stefano; Fusco, Stefania Angela Di; Gulizia, Michele Massimo; Gabrielli, Domenico; Oliva, Fabrizio; Colivicchi, Furio

doi:10.1093/ehjimp/qyad011

Cited by 3 publications

(1 citation statement)

References 51 publications

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“…In their review, Fortuni et al 10 described the Management of Temporary Mechanical Circulatory Support Devices. tMCS devices play a critical role in managing cardiogenic shock and high-risk procedures.…”

Section: Review Papersmentioning

confidence: 99%

Celebrating 1 year of EHJ-IMP: imaging an open world

Gimelli,

Maurer

2024

European Heart Journal - Imaging Methods and Practice

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Section: Review Papersmentioning

confidence: 99%

Celebrating 1 year of EHJ-IMP: imaging an open world

Gimelli,

Maurer

2024

European Heart Journal - Imaging Methods and Practice

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Pheochromocytoma-induced cardiogenic shock requiring ECMO: cardiovascular recovery prior to surgical resection

Redler,

Mohtat-Nasri,

Williams

et al. 2024

BMJ Case Rep

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An otherwise healthy woman in her 30s presented with cardiogenic shock and acute pulmonary oedema (APO), subsequently requiring extracorporeal membrane oxygenation (ECMO). A CT scan revealed an adrenal mass that prompted the differential diagnosis of a pheochromocytoma crisis that was later further suggested by raised plasma metanephrines. In the absence of clear guidelines due to the clinical rarity, a decision was made to delay adrenalectomy and stabilise the patient from a cardiac perspective with the view to operate after improvement of cardiac function with adequate alpha and beta blockade. Despite multiple complications, the patient was discharged from the hospital on day 32. After stabilisation and improvement of cardiac function, the patient underwent laparoscopic adrenalectomy. She was haemodynamically stable throughout the operation and was discharged on postoperative day 1 from the ICU to home. Histology confirmed the diagnosis of pheochromocytoma. She has been stable on follow-up.

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Echocardiogram by apical-subcostal protocol in prone position during invasive mechanical ventilation in cardiovascular intensive care unit

Del Castillo,

Verdugo,

Appiani

et al. 2024

Cardiovasc Ultrasound

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Aims To evaluate the feasibility of a transthoracic echocardiogram using an apical-subcostal protocol in invasive mechanical ventilation (IMV) and prone position. Methods Prospective study of adults who required a prone position during IMV. A pillow was placed only under the left hemithorax in the prone position to elevate and ease the apical and subcostal windows. A critical care cardiologist (prone group) acquired and evaluated the images using the apical-subcostal protocol. Besides, we used ambulatory echocardiograms performed as a comparative group (supine group). Results 86 patients were included, 43 in the prone and 43 in the supine. In the prone group, the indication to perform an echocardiogram was hemodynamic monitoring. All patients were ventilated with protective parameters, and the mean end-expiratory pressure was 10.6 cmH2O. The protocol was performed entirely in 42 of 43 patients in the prone group because one patient did not have any acoustic window. In the 43 patients in the prone group analyzed and compared to the supine group, global biventricular function was assessed in 97.7% (p = 1.0), severe heart valve disease in 88.4% (p = 0.055), ruled out of the presence of pulmonary hypertension in 76.7% (p = 0.80), pericardial effusion in 93% (p = 0.12), and volume status by inferior vena cava in 93% (p = 0.48). Comparing prone versus supine position, a statistical difference was found when evaluating the left ventricle apical 2-chamber view (65.1 versus 100%, p < 0.01) and its segmental function (53.4 versus 100%, p < 0.01). Conclusion The echocardiogram using an apical-subcostal protocol is feasible in patients in the IMV and prone position. Graphical Abstract

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Management of temporary mechanical circulatory support devices in cath-lab and cardiac intensive care unit

Cited by 3 publications

References 51 publications

Celebrating 1 year of EHJ-IMP: imaging an open world

Celebrating 1 year of EHJ-IMP: imaging an open world

Pheochromocytoma-induced cardiogenic shock requiring ECMO: cardiovascular recovery prior to surgical resection

Echocardiogram by apical-subcostal protocol in prone position during invasive mechanical ventilation in cardiovascular intensive care unit

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