Alternative Access for Mechanical Circulatory Support
Basir MB, Eng MH, Villablanca P, Anderson MB, Zaidan M, Wang DD, Alaswad K, O’Neill WW, and Alqarqaz M. Alternative Access for Mechanical Circulatory Support. Structural Heart 2020.
Technological advancements and the development of shock teams and protocols have led to increasing utilization of mechanical circulatory support (MCS) devices. These large-bore devices are used to provide hemodynamic support in patients undergoing complex cardiovascular procedures and to support end-organ perfusion in those with heart failure or cardiogenic shock. Vascular access complications are common and limit the therapeutic and hemodynamic benefits of such devices. In this review, the authors discuss common techniques used to overcome hostile femoral anatomy and review alternative accesses that can be used for the safe delivery of MCS devices.
ePub ahead of print