Mechanical Circulatory Support in COVID-19

Kari Gorder; Wesley Young; Navin K Kapur; Timothy D Henry; Santiago Garcia; Raviteja R Guddeti; Timothy D Smith

doi:10.1016/j.ccl.2022.03.003

Mechanical Circulatory Support in COVID-19

Cardiol Clin. 2022 Aug;40(3):329-335. doi: 10.1016/j.ccl.2022.03.003. Epub 2022 Mar 25.

Authors

Kari Gorder¹, Wesley Young², Navin K Kapur³, Timothy D Henry⁴, Santiago Garcia⁵, Raviteja R Guddeti⁶, Timothy D Smith⁷

Affiliations

¹ The Christ Hospital Heart and Vascular Institute, 2139 Auburn Avenue, Cincinnati OH 45219, USA. Electronic address: kari.gorder@thechristhospital.com.
² The Christ Hospital Heart and Vascular Institute, 2139 Auburn Avenue, Cincinnati OH 45219, USA. Electronic address: https://twitter.com/wesyoungpa.
³ Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
⁴ The Christ Hospital Heart and Vascular Institute, 2139 Auburn Avenue, Cincinnati OH 45219, USA; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH 45219, USA. Electronic address: https://twitter.com/HenrytTimothy.
⁵ Minneapolis Heart Institute, 800 East, 28th Street, Minneapolis, MN 55407, USA.
⁶ Minneapolis Heart Institute, 800 East, 28th Street, Minneapolis, MN 55407, USA. Electronic address: https://twitter.com/RavitejaGuddeti.
⁷ The Christ Hospital Heart and Vascular Institute, 2139 Auburn Avenue, Cincinnati OH 45219, USA. Electronic address: https://twitter.com/TimDSmithMD.

Abstract

Despite aggressive care, patients with cardiopulmonary failure and COVID-19 experience unacceptably high mortality rates. The use of mechanical circulatory support devices in this population offers potential benefits but confers significant morbidity and novel challenges for the clinician. Thoughtful application of this complex technology is of the utmost importance and should be done in a multidisciplinary fashion by teams familiar with mechanical support devices and aware of the particular challenges provided by this complex patient population.

Keywords: Acute respiratory distress syndrome; COVID-19; Cardiogenic shock; Extracorporeal membrane oxygenation; Mechanical circulatory support.

Publication types

Review

MeSH terms

COVID-19*
Extracorporeal Membrane Oxygenation*
Heart-Assist Devices*
Humans
Shock, Cardiogenic