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Updated: May 14, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Effect of percutaneous ventricular assist devices on renal function
Huijuan Mao1, Anna Giuliani, Lourdes Blanca-Martos
1Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Percutaneous ventricular assist devices (VADs) offer rapid hemodynamic support for critical events. This review examines their mechanical principles and clinical data, focusing on potential renal effects in cardiac patients.
Area of Science:
- Cardiology
- Biomedical Engineering
- Nephrology
Background:
- Hemodynamic instability refractory to pharmacologic therapies necessitates advanced circulatory support.
- Ventricular assist devices (VADs) improve systemic circulation and reduce ventricular workload.
- Percutaneous VADs are crucial for acute critical events due to rapid deployment.
Purpose of the Study:
- To review the mechanical principles of percutaneous VADs.
- To analyze clinical studies on percutaneous VADs.
- To investigate the potential renal effects of percutaneous VADs.
Main Methods:
- Literature review of mechanical principles.
- Analysis of clinical studies focusing on percutaneous VADs.
- Exclusion of extracorporeal membrane oxygenation systems.
Main Results:
- Percutaneous VADs provide rapid circulatory support.
- Implantable VADs serve as bridge therapy for end-stage heart failure.
- The review focuses on cardiac support devices, excluding ECMO.
Conclusions:
- Percutaneous VADs are vital for acute hemodynamic support.
- Understanding their renal effects is critical for patient management.
- Further research into VADs' impact on renal function is warranted.
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