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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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1-s2.0-S0735109721000097-main.pdf | Published version | 1.58 MB | Adobe PDF | View/Open |
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