NYMC Faculty Publications

Emerging Modalities for Temporary Mechanical Circulatory Support in Cardiogenic Shock

Author Type(s)

Resident/Fellow, Faculty

DOI

10.1097/CRD.0000000000000549

Journal Title

Cardiology in Review

First Page

41

Last Page

45

Document Type

Article

Publication Date

1-1-2025

Department

Medicine

Keywords

cardiogenic shock, Impella, mechanical circulatory support

Disciplines

Medicine and Health Sciences

Abstract

Cardiogenic shock (CS) is a life-threatening medical condition that requires prompt recognition and treatment. The use of standardized CS criteria, such as the Society for Cardiovascular Angiography and Interventions criteria, can categorize patients and guide therapeutic strategies. Temporary mechanical circulatory support (MCS) devices have become valuable tools in the treatment of CS, as they can provide cardiovascular support as a bridge to recovery, cardiac surgery, or advanced therapies such as cardiac transplant or durable ventricular assist devices. The use of MCS should be tailored to each individual patient, focused on a stepwise escalation of circulatory support to support both end-organ perfusion and myocardial recovery. As newer MCS devices reduce myocardial oxygen demand without increasing ischemia, the possibility of recovery is optimized. In this review, we discuss the different modalities of MCS focusing on the mechanism of support and the advantages and disadvantages of each device.

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