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[Mechanical circulatory support in terminal heart failure].
M Derwall1, A Moza2, A Brücken3
1Klinik für Operative Intensivmedizin und Intermediate Care, Medizinische Fakultät RWTH Aachen, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland. mderwall@ukaachen.de.
Der Anaesthesist
|April 7, 2018
Summary
Mechanical circulatory support (MCS) systems offer options for heart failure when conservative treatments fail. Understanding these devices, their risks, and proper use is crucial for emergency care.
Area of Science:
- Cardiology
- Medical Devices
- Intensive Care Medicine
Background:
- Mechanical circulatory support (MCS) systems are vital when conservative treatments for heart failure are exhausted.
- These systems can temporarily or permanently assist or replace the heart's pumping function.
Purpose of the Study:
- To present key cardiac support systems used in intensive care.
- To outline indications and significant risk factors associated with MCS.
Main Methods:
- A critical review of device manufacturer specifications, current research, and expert opinions was conducted.
- Analysis included various MCS procedures, from chest compression devices to artificial hearts.
Main Results:
- MCS options range from mechanical chest compression devices to complete artificial hearts.
- Device selection hinges on heart failure severity, treatment duration, and lung function.
- Anticoagulation management is critical due to vast differences between devices, impacting bleeding and thromboembolic risks.
Conclusions:
- Physicians must be knowledgeable about MCS devices and their complications, especially in emergency settings.
- Increasing numbers of patients on long-term MCS necessitate broader physician understanding for effective emergency management.
Keywords:
Cardiac output, lowEmergency treatmentExtracorporeal membrane oxygenationHeart-assist devicesIntra-aortic balloon pumpingMore Related Videos
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