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Pragmatic approach to temporary mechanical circulatory support in acute right ventricular failure.
Carnicelli, Anthony P; Diepen, Sean van; Gage, Ann; Bernhardt, Alexander M; Cowger, Jennifer; Houston, Brian A; Siuba, Matt T; Kataria, Rachna; Beavers, Craig J; John, Kevin J; Meyns, Bart; Kapur, Navin K; Tedford, Ryan J; Kanwar, Manreet.
Afiliación
  • Carnicelli AP; Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina. Electronic address: carnicel@musc.edu.
  • Diepen SV; Department of Critical Care Medicine and Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
  • Gage A; Department of Cardiology, Centennial Medical Center, Nashville, Tennessee.
  • Bernhardt AM; Department of Cardiovascular Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
  • Cowger J; Cardiovascular Medicine, Henry Ford Hospital, Detroit, Michigan.
  • Houston BA; Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina.
  • Siuba MT; Department of Critical Care Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, Ohio.
  • Kataria R; Division of Cardiology, Department of Medicine, Lifespan Cardiovascular Institute, Rhode Island Hospital, Providence, Rhode Island.
  • Beavers CJ; University of Kentucky College of Pharmacy, Lexington, Kentucky.
  • John KJ; Division of Cardiology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
  • Meyns B; Department of Cardiothoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
  • Kapur NK; Division of Cardiology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
  • Tedford RJ; Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina.
  • Kanwar M; Cardiovascular Institute at Allegheny Health Network, Pittsburgh, Pennsylvania.
J Heart Lung Transplant ; 43(11): 1894-1904, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39059594
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Disfunción Ventricular Derecha / Insuficiencia Cardíaca Límite: Humans Idioma: En Revista: J Heart Lung Transplant Asunto de la revista: CARDIOLOGIA / TRANSPLANTE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Disfunción Ventricular Derecha / Insuficiencia Cardíaca Límite: Humans Idioma: En Revista: J Heart Lung Transplant Asunto de la revista: CARDIOLOGIA / TRANSPLANTE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos