Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Mechanical Circulatory Support For Cardiogenic Shock – Where Do We Stand?

“…The NCSI utilized a standardized protocol that emphasized the importance of early recognition of CS, the utilization of Impella before percutaneous coronary intervention (PCI), and the use of right heart catheterization to assess the hemodynamics. Thus, patient selection and a protocol-based approach may be key to obtaining the maximum benefit from the use of this device in The TandemHeart (TH) bypasses the LV by shunting blood from the left atrium (LA) to the femoral artery (FA) 5 . The TH can provide flow up to 4.5 L/min and may help in CS refractory to IABP.…”

“…Table 1 compares various types of pMCS devices. In this editorial, we discuss the following pMCS devices: intra-aortic balloon pump (IABP) 3 , Impella 4 , TandemHeart 5 , right ventricular assist device (RVAD) 6 , and veno-arterial extracorporeal membrane oxygenation (VA-ECMO).…”