Mechanical Circulatory Support Devices in the Elderly

Bhoumesh Patel; Robert P Davis; Siavosh Saatee

doi:10.1016/j.anclin.2023.02.008

Mechanical Circulatory Support Devices in the Elderly

Anesthesiol Clin. 2023 Sep;41(3):583-594. doi: 10.1016/j.anclin.2023.02.008. Epub 2023 Jun 18.

Authors

Bhoumesh Patel¹, Robert P Davis², Siavosh Saatee³

Affiliations

¹ Division of Cardiac Anesthesiology, Department of Anesthesiology, Yale School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USA. Electronic address: bhoumesh.patel@yale.edu.
² Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USA.
³ Department of Anesthesiology, Feinberg School of Medicine, 251 East Huron St., F5-704, Chicago, IL 60611, USA.

PMID: 37516496
DOI: 10.1016/j.anclin.2023.02.008

Abstract

As the field of mechanical circulatory support (MCS) continues to advance and resuscitation protocols are being refined, elderly patients previously not considered for MCS are now being supported. MCS devices can broadly be classified based on the duration of support into temporary or durable devices. Although mortality is higher in the elderly, carefully selected patients, MCS support can be valuable and lead to excellent recovery. Age itself should not preclude patients from being candidates for MCS because we must not restrict the progress of science in medicine for any age.

Keywords: Cardiogenic shock; Elderly; Frailty; Geriatrics; Mechanical circulatory support.

Publication types

Review

MeSH terms

Aged
Extracorporeal Membrane Oxygenation* / methods
Heart-Assist Devices* / adverse effects
Humans
Intra-Aortic Balloon Pumping / methods
Resuscitation
Shock, Cardiogenic / etiology
Treatment Outcome