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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Perioperative mechanical circulatory support
Dominic V Pisano1, Peter Evans2, David Convissar3
1Department of Anesthesiology, Boston Medical Center 750 Albany Street, Floor 2R, Power Plant Building, Boston, MA, USA.
Best Practice & Research. Clinical Anaesthesiology
|August 4, 2026
Summary
Anesthesiologists increasingly manage patients needing mechanical circulatory support (MCS). This review covers MCS types, anesthetic considerations, and future research for improved patient care.
Area of Science:
- Anesthesiology
- Cardiovascular Surgery
- Critical Care Medicine
Background:
- Patient acuity is rising, leading to increased use of mechanical circulatory support (MCS) devices.
- Anesthesiologists face growing challenges in managing patients requiring MCS.
- MCS encompasses various support types, including ventricular and respiratory support.
Purpose of the Study:
- To review current literature on select mechanical circulatory support (MCS) devices.
- To outline anesthetic considerations specific to different MCS types.
- To identify future research directions in MCS management.
Main Methods:
- Literature review of select mechanical circulatory support (MCS) types.
- Analysis of anesthetic management strategies for MCS patients.
- Discussion of clinical scenarios involving MCS.
Main Results:
- Categorization of MCS by support type (left, right, biventricular, respiratory).
- Examples of MCS devices include IABP, VA ECMO, VV ECMO, and microaxial pumps.
- Clinical scenarios range from elective procedures to emergent rescue.
Conclusions:
- Anesthetic management must be tailored to the specific type of MCS.
- Further research is needed to optimize perioperative care for MCS patients.
- Understanding MCS is crucial for anesthesiologists managing complex patients.
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