Pragmatic approach to temporary mechanical circulatory support in acute right ventricular failure
Recommended Citation
Carnicelli AP, Diepen SV, Gage A, Bernhardt AM, Cowger J, Houston BA, Siuba MT, Kataria R, Beavers CJ, John KJ, Meyns B, Kapur NK, Tedford RJ, and Kanwar M. Pragmatic approach to temporary mechanical circulatory support in acute right ventricular failure. J Heart Lung Transplant 2024.
Document Type
Article
Publication Date
7-24-2024
Publication Title
The Journal of heart and lung transplantation
Abstract
Acute right ventricular failure (RVF) is prevalent in multiple disease states and is associated with poor clinical outcomes. Right-sided temporary mechanical circulatory support (tMCS) devices are used to unload RV congestion and increase cardiac output in cardiogenic shock (CS) with hemodynamically significant RVF. Several RV-tMCS device platforms are available; however consensus is lacking on patient selection, timing of escalation to RV-tMCS, device management, and device weaning. The purposes of this review are to 1) describe the current state of tMCS device therapies for acute RVF with CS, 2) discuss principles of escalation to RV-tMCS device therapy, 3) examine important aspects of clinical management for patients supported by RV-tMCS devices including volume management, anticoagulation, and positive pressure ventilation, and 4) provide a framework for RV-tMCS weaning.
PubMed ID
39059594
ePublication
ePub ahead of print
