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Related Experiment Video

Updated: Nov 4, 2025

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Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices.

Alaide Chieffo1, Dariusz Dudek, Christian Hassager

  • 1Interventional Cardiology Unit San Raffaele Scientific Institute - Milan, Italy.

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Summary

Short-term percutaneous ventricular assist devices (pVADs) are increasingly used for acute circulatory support in cardiogenic shock and during high-risk interventions. This consensus document provides guidance on their value, indications, and management.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Acute Cardiovascular Care

Background:

  • Short-term percutaneous ventricular assist devices (pVADs) are increasingly utilized for acute circulatory support.
  • Applications include cardiogenic shock and hemodynamic support during high-risk interventional procedures like percutaneous coronary interventions.
  • Despite common grouping, pVADs exhibit distinct hemodynamic effects, management strategies, indications, insertion techniques, and monitoring needs.

Purpose of the Study:

  • To appraise the clinical value of short-term pVADs.
  • To review the pathophysiological context and potential indications for pVAD use in various clinical scenarios.
  • To provide expert guidance on pVAD management based on current evidence and best practices.

Main Methods:

  • Consensus document development by an expert panel.
  • Review of existing evidence and current best practices.
  • Appraisal of short-term pVADs' value, indications, and management.

Main Results:

  • pVADs are valuable tools for acute circulatory support and hemodynamic stabilization.
  • Understanding differences in pVADs' hemodynamic effects, management, and indications is crucial.
  • Guidance is provided for optimal pVAD utilization and patient care.

Conclusions:

  • Short-term pVADs play a significant role in managing cardiogenic shock and supporting complex interventions.
  • Tailored approaches to pVAD selection and management are essential due to device-specific characteristics.
  • This consensus offers a framework for evidence-based application and management of short-term pVADs.