Related Experiment Video
Updated: Apr 21, 2026
08:49
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
8.9K
An insight into short- and long-term mechanical circulatory support systems
Markus Ferrari1, Peter Kruzliak, Kyriakos Spiliopoulos
1Clinic of Internal Medicine 1, HSK, Klinikum der Landeshauptstadt Wiesbaden und der HELIOS Kliniken Gruppe, Wiesbaden, Germany.
Summary
Mechanical circulatory support systems (MCSS) offer life-saving options for cardiogenic shock and heart failure. Device selection depends on patient hemodynamics, comorbidities, and intended use, with evolving technologies for short and long-term support.
Area of Science:
- Cardiology
- Biomedical Engineering
- Mechanical Engineering
Background:
- Cardiogenic shock and heart failure present significant mortality challenges despite medical advancements.
- Mechanical circulatory support systems (MCSS) are crucial for managing these conditions.
- A wide array of MCSS devices are available, varying in invasiveness and duration of use.
Purpose of the Study:
- To provide an updated overview of current MCSS.
- To discuss the application of MCSS in various clinical scenarios.
- To explore future perspectives in mechanical circulatory support.
Main Methods:
- Review of existing literature on MCSS.
- Categorization of devices based on type (extracorporeal, implantable, percutaneous) and duration (temporary, long-term).
- Analysis of selection criteria for optimal device choice.
Main Results:
- Intra-aortic balloon pump (IABP) and extracorporeal membrane oxygenation (ECMO) are key for acute cardiogenic shock.
- Less invasive temporary support devices like Impella and Tandemheart are available.
- Left ventricular assist devices (LVADs) are established long-term solutions for heart failure due to organ shortages.
Conclusions:
- Optimal MCSS selection requires careful consideration of hemodynamic status, comorbidities, and treatment duration.
- MCSS have evolved significantly, offering viable alternatives for acute and chronic cardiovascular support.
- Ongoing technological development promises further advancements in MCSS for improved patient outcomes.
More Related Videos
Related Concept Videos
01:14Ventilatory Modes
2.2K
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
2.2K
01:22Heart Failure VI: Adjunct Therapies
624
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
624
01:30Cardiomyopathy II: Dilated Cardiomyopathy
766
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
766
01:23Mechanical Ventilation II: Invasive Ventilation
1.3K
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
1.3K
01:29Mechanical Ventilation I: Indication and Settings
4.1K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
4.1K
01:29Cardiomyopathy V: Interprofessional Care
742
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
742