Mechanical Circulatory Support, An Issue of Interventional Cardiology Clinics

1st Edition, Volume 10-2 - March 25, 2021
Editor: Brian O’Neill
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 1 3 2 3 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 1 3 2 4 - 2

This issue of Interventional Cardiology Clinics, Guest Edited by Dr. Brian O’Neill, will focus on Mechanical Circulatory Support. This issue is one of four selected each year by… Read more

Mechanical Circulatory Support, An Issue of Interventional Cardiology Clinics

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This issue of Interventional Cardiology Clinics, Guest Edited by Dr. Brian O’Neill, will focus on Mechanical Circulatory Support. This issue is one of four selected each year by the series Consulting Editor, Dr. Marvin H. Eng. Mechanical circulatory support (MCS) plays an important role in the management of a variety of patients with a range of conditions in interventional cardiology. As many times the question of MCS arises in the most critical of patients, an understanding of each of the devices along with which patients may potentially benefit is vital. This issue aims to provide a review of the various options of MCS, as well as a variety of scenarios in which MCS may play a beneficial role in the management of patients.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Overview of Options for Mechanical Circulatory Support
Key points
Introduction
History of mechanical circulatory support
Indications for mechanical circulatory support
Stratification of severity in advanced heart failure
Guidelines
Selection of mechanical circulatory support device
Role of pulmonary artery catheters
Acute heart failure
Chronic heart failure
Clinical care points
Controversies and future directions
Summary
Vascular Access for Large Bore Access
Key points
Introduction
Arterial anatomy
Femoral artery access
Complications
Pseudoaneurysm
Anatomic challenges
Tortuosity
Calcification
Hemostasis
Alternative access
Mechanical Circulatory Support in Acute Myocardial Infarction and Cardiogenic Shock
Key points
Introduction
Intra-aortic balloon pump
Venoarterial–extracorporeal membrane oxygenation
TandemHeart
Impella
Right ventricular failure
Shock protocols and teams
Summary
Mechanical Circulatory Support in Right Ventricular Failure
Key points
Introduction
The right ventricle in health and disease
Mechanical circulatory support
Summary
Clinics Care Points
Extracorporeal Life Support and Mechanical Circulatory Support in Out-of-Hospital Cardiac Arrest and Refractory Cardiogenic Shock
Key points
Background
Discussion
Techniques
Summary
Clinics care points
Mechanical Circulatory Support in High-Risk Percutaneous Coronary Intervention
Key points
Introduction
Defining high-risk percutaneous coronary intervention
Hemodynamic effects of mechanical circulatory support in high-risk percutaneous coronary intervention
Current evidence
Clinical decision making
Future directions
Summary
clinics care points
Mechanical Circulatory Support in Cardiogenic Shock due to Structural Heart Disease
Key points
Heart team
Definition of cardiogenic shock
Hemodynamic monitoring
Medical therapy
Mechanical circulatory support options
Aortic stenosis
Aortic regurgitation
Mitral stenosis
Mitral regurgitation
Postmyocardial infarction ventricular septal defect
Right-sided structural heart disease
Future directions: proposed algorithm
Summary
Clinics care points
Temporary Mechanical Circulatory Support as a Bridge to Heart Transplant or Durable Left Ventricular Assist Device
Key points
Introduction
Percutaneous temporary mechanical circulatory support for the left ventricle
Intra-aortic balloon pump
Impella
TandemHeart
Venoarterial extra corporeal membrane oxygenation
PulseCath iVAC2L
Percutaneous temporary mechanical circulatory support for the right ventricle
Role of the shock team and the organization of expert centers
Summary
Clinics Care Points
Large Sheath Management in Patients with Poor Peripheral Access
Key points
Introduction
Management of occlusive large bore sheath
Percutaneous axillary artery large bore access
Acute limb ischemia
Summary
Clinics care points
Alternative Access for Mechanical Circulatory Support
Key points
Introduction
Transaxillary access
The caval-aortic (transcaval) approach
Comparison of alternative access options
Summary
Clinics care points
Mechanical Circulatory Support Devices: Management and Prevention of Vascular Complications
Key points
Introduction
Types and trends of complications
Definition of vascular complications
Prevention of vascular complications
Management of complications
Summary
Clinics care points