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Related Concept Videos

Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

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The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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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.
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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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,...
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Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Dec 12, 2025

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Complications associated with mechanical circulatory support.

Jason M Ali1, Yasir Abu-Omar1

  • 1Department of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, UK.

Annals of Translational Medicine
|August 15, 2020
PubMed
Summary
This summary is machine-generated.

Mechanical circulatory support (MCS) devices help manage cardiogenic shock, offering improved outcomes but carrying risks. This review details complications associated with various MCS devices like IABP, Impella, ECMO, and VADs.

Keywords:
ImpellaMechanical circulatory support (MCS)TandemHeartcomplicationsextracorporeal membrane oxygenation (ECMO)intra-aortic balloon pump (IABP)morbidityventricular assist device (VAD)

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Area of Science:

  • Cardiology
  • Medical Devices
  • Critical Care Medicine

Background:

  • Mechanical circulatory support (MCS) device utilization for cardiogenic shock is rising.
  • Newer devices aim to improve patient outcomes.
  • MCS can serve as a bridge to recovery/transplant or destination therapy.

Purpose of the Study:

  • To review the complications associated with various mechanical circulatory support (MCS) devices.
  • To provide an overview of risks linked to commonly used MCS technologies.

Main Methods:

  • Literature review of complications.
  • Analysis of data pertaining to intra-aortic balloon pump (IABP), Impella, TandemHeart, extracorporeal membrane oxygenation (ECMO), and ventricular assist devices (VADs).

Main Results:

  • MCS devices are associated with significant complications.
  • Specific complications vary depending on the type of MCS device used.
  • Despite risks, good outcomes are achievable with MCS.

Conclusions:

  • Understanding and managing MCS device complications is crucial for patient care.
  • Ongoing research and device development aim to mitigate these risks.
  • Careful patient selection and management are key to successful MCS therapy.