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Effect of Acute Mechanical Circulatory Support on Kidney Function

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Kidney Disease in the Cardiac Catheterization Laboratory

Abstract

Over the past two decades acute mechanical circulatory support (AMCS) devices are increasingly being used to support high-risk cardiovascular interventions or cardiogenic shock. The primary hemodynamic objectives for the use of AMCS devices include: (1) providing circulatory support by increasing mean arterial pressure, (2) unloading cardiac workload by reducing left ventricular and/or right ventricular pressures and volumes, (3) increasing myocardial perfusion, and (4) facilitating decongestion of the venous system. In this chapter, we review how each AMCS device achieves these hemodynamic objectives through distinct mechanisms of action and further discuss the impact of these devices on renal function.

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Authors and Affiliations

  1. Department of Cardiovascular Disease, Tufts Medical Center, Boston, MA, USA

    Shiva K. Annamalai

  2. Tufts Medical Center, Department of Cardiovascular Disease, Boston, MA, USA

    Lena E. Jorde, Carlos D. Davila & Navin K. Kapur

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  1. Shiva K. Annamalai
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  2. Lena E. Jorde
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  3. Carlos D. Davila
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  4. Navin K. Kapur
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Corresponding author

Correspondence to Navin K. Kapur .

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Editors and Affiliations

  1. Einstein Medical Center/Thomas Jefferson University, Department of Medicine/Nephrology, Philadelphia, PA, USA

    Janani Rangaswami

  2. UIC/Advocate Christ Medical Center, Department of Medicine, Chicago, Il, USA

    Edgar V. Lerma

  3. Baylor University Medical Center, Baylor Heart and Vascular Hospital, Department of Internal Medicine, Texas A & M College of Medicine, Division of Cardiology, Dallas, TX, USA

    Peter A. McCullough

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Annamalai, S.K., Jorde, L.E., Davila, C.D., Kapur, N.K. (2020). Effect of Acute Mechanical Circulatory Support on Kidney Function. In: Rangaswami, J., Lerma, E., McCullough, P. (eds) Kidney Disease in the Cardiac Catheterization Laboratory . Springer, Cham. https://doi.org/10.1007/978-3-030-45414-2_15

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  • DOI: https://doi.org/10.1007/978-3-030-45414-2_15

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