Austin Health

Title
Ambulatory short-term mechanical circulatory support: facilitates recovery and prepares patients for definitive therapy.
Publication Date
2023-07
Author(s)
Raman, Jaishankar
Saxena, Pankaj
Subject
Ambulatory support
ECMO
Impella
Mechanical circulatory support
Subclavian balloon
Type of document
Journal Article
OrcId
0000-0002-7691-4779
#PLACEHOLDER_PARENT_METADATA_VALUE#
DOI
10.1007/s12055-023-01512-9
Abstract
Short-term mechanical circulatory support (ST-MCS) devices have been traditionally deployed in patients with cardiogenic shock, advanced heart failure, cardiovascular collapse, and cardiorespiratory failure. Limitations of the mechanical support devices are typically related to mobility of the patient since the access is frequently through femoral vasculature. This limits the time the patient can be supported by mechanical circulatory support (MCS). We describe deployment of ST-MCS using alternate access such as the subclavian/axillary artery that facilitates ambulation of the patient. These include the deployment of intra-aortic balloon pump (IABP) through the subclavian artery, Impella pump through the axillary/subclavian artery, and extracorporeal membrane oxygenation (ECMO) using the subclavian artery and jugular vein.
Link
Citation
Indian Journal of Thoracic and Cardiovascular Surgery 2023-07; 39(Suppl 1)
Jornal Title
Indian Journal of Thoracic and Cardiovascular Surgery

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