Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/34157
Title: Managing Patients With Short-Term Mechanical Circulatory Support JACC Review Topic of the Week
Authors: Balthazar, Tim
Vandenbriele, Christophe
VERBRUGGE, Frederik 
Den Uil, Corstiaan
Engstroem, Annemarie
Rex, Steffen
Van Mieghem, Nicolas
Price, Susanna
Adriaenssens, Tom
Janssens, Stefan
Meyns, Bart
Issue Date: 2021
Publisher: ELSEVIER SCIENCE INC
Source: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 77 (9) , p. 1243 -1256
Abstract: The use of mechanical circulatory support for patients presenting with cardiogenic shock is rapidly increasing. Currently, there is only limited and conflicting evidence available regarding the role of the Impella (a microaxial, continuous-flow, short-term, left or right ventricular assist device) in cardiogenic shock; further randomized trials are needed. Patient selection, timing of implantation, and post-implantation management in the cardiac intensive care unit are crucial elements for success. Particular challenges at the bedside include the practical management of anticoagulation, evaluation of correct device position, and the approach to use in a patient with signs of insufficient hemodynamic support. Profound knowledge of these issues is required to enable the maximal potential of the device. This review provides a comprehensive overview of the short-term assist device and describes a practical approach to optimize care for patients supported with the device. (c) 2021 the American College of Cardiology Foundation. Published by Elsevier. All rights reserved.
Notes: Balthazar, T (corresponding author), Univ Hosp Leuven, Dept Cardiovasc Dis, Herestr 49, B-3000 Leuven, Belgium.
tim.balthazar@uzleuven.be
Other: Balthazar, T (corresponding author), Univ Hosp Leuven, Dept Cardiovasc Dis, Herestr 49, B-3000 Leuven, Belgium. tim.balthazar@uzleuven.be
Keywords: acute heart failure;anticoagulation;cardiac intensive care;cardiogenic shock;hemodynamics;Impella
Document URI: http://hdl.handle.net/1942/34157
ISSN: 0735-1097
e-ISSN: 1558-3597
DOI: 10.1016/j.jacc.2020.12.054
ISI #: WOS:000631947900011
Category: A1
Type: Journal Contribution
Validations: ecoom 2022
Appears in Collections:Research publications

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