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Mechanical Circulatory Support: a Look Back and a Look Ahead

  • Heart Failure (AM Chang, Section Editor)
  • Published:
Current Emergency and Hospital Medicine Reports Aims and scope Submit manuscript

Abstract

Purpose of review

Heart failure is a growing problem across the world. Although many advances have been made in heart failure therapy, patients with cardiogenic shock still have a grim prognosis. The aim of this article is to discuss the current state of mechanical circulatory support and future directions.

Recent findings

Mechanical support can be classified as temporary or durable. Temporary support ranges from the intra-aortic balloon pump to extracorporeal membrane oxygenation. Durable support consists of left ventricular assist devices that are long-term and can be used as a bridge to transplant or destination therapy. Many advances continue be made in terms of size, thrombogenic potential, and infection risk.

Summary

As the supply of heart transplants is limited, mechanical support options for a growing heart failure population are becoming increasingly important. Deciding when to initiate and selecting the right device are of utmost importance and should be a multidisciplinary approach.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Jefferson Heart Institute, Thomas Jefferson University Hospital, Philadelphia, USA

    Alan K. John & Preethi Pirlamarla

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  1. Alan K. John
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  2. Preethi Pirlamarla
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Correspondence to Alan K. John.

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This article is part of the Topical Collection on Heart Failure

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John, A.K., Pirlamarla, P. Mechanical Circulatory Support: a Look Back and a Look Ahead. Curr Emerg Hosp Med Rep 7, 189–195 (2019). https://doi.org/10.1007/s40138-019-00203-3

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  • DOI: https://doi.org/10.1007/s40138-019-00203-3

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