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Related Experiment Video

Updated: Nov 4, 2025

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices.

Alaide Chieffo1, Dariusz Dudek2, Christian Hassager3

  • 1Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.

European Heart Journal. Acute Cardiovascular Care
|May 31, 2021
PubMed
Summary

Short-term percutaneous ventricular assist devices (pVADs) are increasingly used for acute circulatory support in cardiogenic shock and during complex interventions. This consensus document clarifies their distinct roles, management, and best practices.

Keywords:
Acute coronary syndromesECMOHigh-risk percutaneous coronary interventionImpellaIntra-aortic balloon pumpMechanical circulatory support

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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.
  • 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.