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Updated: Apr 24, 2026
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
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Mechanical circulatory support devices in the ICU.
Keyur B Shah1, Melissa C Smallfield1, Daniel G Tang2
1Division of Cardiology, Virginia Commonwealth University, Richmond, VA.
Chest
|September 3, 2014
Summary
Implantable mechanical circulatory support devices are increasingly used for heart failure and cardiogenic shock. This overview covers device physiology, perioperative management, and complications for ICU clinicians.
Area of Science:
- Cardiology
- Critical Care Medicine
- Biomedical Engineering
Background:
- Increasing use of implantable mechanical circulatory support (MCS) devices for end-stage heart failure and cardiogenic shock.
- Advancements in newer-generation devices provide more durable and compact options compared to earlier models.
Purpose of the Study:
- To provide ICU clinicians with a succinct overview of hemodynamic principles and complications associated with MCS device implantation.
- To review device physiology, perioperative management strategies, and common medical complications.
Main Methods:
- Review of hemodynamic principles relevant to MCS devices.
- Discussion of clinical pearls for perioperative management.
- Overview of common medical complications following device implantation.
Main Results:
- Newer-generation MCS devices offer improved durability and compactness.
- Understanding device physiology is crucial for effective management.
- Perioperative care and recognition of complications are essential for patient outcomes.
Conclusions:
- Implantable mechanical circulatory support devices are vital in managing advanced heart failure.
- Comprehensive knowledge of device function, management, and potential complications is necessary for ICU clinicians.
- This review serves as a guide for optimal patient care in the perioperative period.
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