Acute mechanical circulatory support for cardiogenic shock in India

Indian J Thorac Cardiovasc Surg. 2023 Jul;39(Suppl 1):47-62. doi: 10.1007/s12055-023-01530-7. Epub 2023 Jun 24.

Abstract

Cardiogenic shock continues to have high morbidity and mortality, despite advances in the field. Temporary mechanical circulatory support (TMCS) devices, if instituted in a timely fashion, can help stabilize critically ill patients with cardiogenic shock from various aetiologies and cardiac arrest, and provide time for organ recovery or till durable support or transplantation can be achieved. Currently, several options for TMCS devices exist. In this review, we discuss indications, contraindications, characteristics of the various available devices, and important issues pertaining to their management.

Keywords: Acute myocardial infarction; Cardiogenic shock; CentriMag; Chronic heart failure; Extracorporeal membrane oxygenation; Impella; Intra-aortic balloon pump; Mechanical circulatory support.

Publication types

  • Review