Current Practices in the Management of Temporary Mechanical Circulatory Support: A Survey of CICU Directors in North America

Authors

Amrita Balgobind
Howard Cooper, New York Medical CollegeFollow
Miguel Alvarez Villela

Author Type(s)

Faculty

DOI

10.1016/j.ahj.2024.05.018

Journal Title

American Heart Journal

First Page

115

Last Page

119

Document Type

Article

Publication Date

10-2024

Keywords

Humans, Heart-Assist Devices, North America, Surveys and Questionnaires, Intra-Aortic Balloon Pumping, Device Removal, Hemodynamic Monitoring, Heart Failure

Disciplines

Medicine and Health Sciences

Abstract

INTRODUCTION: Despite the growing use of temporary mechanical circulatory support (tMCS), little data exists to inform management and weaning of these devices.

METHODS: We performed an online survey among cardiac intensive care unit directors in North America to examine current practices in the management of patients treated with intraaortic balloon pump and Impella.

RESULTS: We received responses from 84% of surveyed centers (n=37). Our survey focused on three key aspects of daily management: 1. Hemodynamic monitoring; 2. Hemocompatibility; and 3. Weaning and removal. We found substantial variability surrounding all three areas of care.

CONCLUSION: Our findings highlight the need for consensus around practices associated with improved outcomes in patients treated with tMCS.

Comments

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Recommended Citation

Balgobind, A., Cooper, H., & Villela, M. (2024). Current Practices in the Management of Temporary Mechanical Circulatory Support: A Survey of CICU Directors in North America. American Heart Journal, 276, 115-119. https://doi.org/10.1016/j.ahj.2024.05.018