Mechanical Circulatory Support: Primer for Consultant Specialists

Clin J Am Soc Nephrol. 2022 Jun;17(6):890-901. doi: 10.2215/CJN.13341021. Epub 2022 May 20.

Abstract

Mechanical life support therapies exist in many forms to temporarily replace the function of vital organs. Generally speaking, these tools are supportive therapy to allow for organ recovery but, at times, require transition to long-term mechanical support. This review will examine nonrenal extracorporeal life support for cardiac and pulmonary support as well as other mechanical circulatory support options. This is intended as a general primer and overview to assist nephrologist consultants participating in the care of these critically ill patients who often experience acute renal injury as a result of cardiopulmonary shock and from their exposure to mechanical circulatory support.

Keywords: cardiovascular; cardiovascular disease; critical care nephrology and acute kidney injury series; heart failure.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury* / therapy
  • Consultants
  • Critical Illness
  • Extracorporeal Membrane Oxygenation* / adverse effects
  • Heart Failure* / therapy
  • Heart-Assist Devices*
  • Humans