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Updated: Jan 18, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.6K

Cardiogenic Shock Management: Single-Center Experience With a Percutaneous Left Ventricular Assist Device Escalation

Soomal Rafique1, Raj Patel2, Asad Cheema2

  • 1Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

JACC. Case Reports
|September 12, 2025
PubMed

Insights

This study details a protocol for managing cardiogenic shock (CS) using escalating mechanical circulatory support (MCS) devices, specifically transitioning from Impella CP to Impella 5.5 based on real-time hemodynamic data to improve patient outcomes.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Critical Care Medicine

Background:

  • Cardiogenic shock (CS) has historically high mortality rates.
  • Advancements in percutaneous left ventricular assist devices (LVADs) and the shock-team approach have improved CS outcomes.
  • Early mechanical circulatory support (MCS) and hemodynamic monitoring are crucial for managing CS.

Keywords:
Impellacardiogenic shock (CS)hemodynamicspercutaneous left ventricular assist device (LVAD)right heart catheterization (RHC)

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