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

Area of Science:

• Cardiology
• Interventional Cardiology
• Acute Cardiovascular Care

Background:

• Short-term percutaneous ventricular assist devices (pVADs) are increasingly utilized for acute circulatory support.
• Their application spans cardiogenic shock and hemodynamic stabilization during high-risk interventional procedures.
• Despite common grouping, pVADs exhibit distinct hemodynamic profiles, indications, and management strategies.

Purpose of the Study:

• To provide a consensus view on the value of short-term pVADs.
• To review the pathophysiological basis and clinical indications for pVAD use.
• To offer guidance on pVAD management based on current evidence and best practices.

Main Methods:

• Consensus document development by expert panels from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC).
• Appraisal of the clinical utility of short-term pVADs.
• Review of existing evidence and current best practices.

Main Results:

• pVADs differ significantly in hemodynamic effects, management, indications, insertion techniques, and monitoring.
• Guidance is provided for diverse clinical scenarios requiring acute circulatory support.
• Expert consensus highlights the evolving role and specific applications of short-term pVADs.

Conclusions:

• Short-term pVADs are valuable tools in specific acute cardiovascular settings.
• Understanding the nuances of different pVADs is crucial for optimal patient management.
• This consensus provides a framework for evidence-based use and management of short-term pVADs.