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Current practices in the management of temporary mechanical circulatory support: A survey of CICU directors in North America.
Balgobind, Amrita; Pierce, Matthew; Alviar, Carlos; Barnett, Christopher; Barsness, Gregory; Chaudhry, Sunit-Preet; Chonde, Meshe; Cooper, Howard; Daniels, Lori; Gidwani, Umesh; Fordyce, Christopher; Goldfarb, Michael; Katz, Jason N; Kontos, Michael; Kwon, Younghoon; Liebner, Evan; Liu, Shuangbo; Miller, P Elliott; Newby, L K; O'Brien, Connor; Papolos, Alexander; Pisani, Barbara; Potter, Brian; Proudfoot, Alastair; Roswell, Robert O; Sinha, Shashank S; Smith, Timothy D; Thompson, Andrea D; van Diepen, Sean; Zakaria, Sammy; Morrow, David; Villela, Miguel Alvarez.
Afiliación
  • Balgobind A; Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.
  • Pierce M; Northwell, New Hyde Park, Cardiovascular Institute, NY.
  • Alviar C; Department of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, NY.
  • Barnett C; Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA.
  • Barsness G; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
  • Chaudhry SP; Saint Vincent Heart Center, Indianapolis, IN.
  • Chonde M; Department of Cardiology, Department of Cardiac Surgery, Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA.
  • Cooper H; Westchester Medical Center and New York Medical College, Valhalla.
  • Daniels L; Division of Cardiovascular Medicine, Department of Medicine, University of California San Diego, La Jolla.
  • Gidwani U; Department of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY.
  • Fordyce C; University of British Columbia, University of British Columbia Centre for Cardiovascular Innovation, Cardiovascular Health Program, University of British Columbia Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC.
  • Goldfarb M; Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
  • Katz JN; Department of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, NY.
  • Kontos M; Division of Cardiology, Virginia Commonwealth University, Richmond, VA.
  • Kwon Y; Division of Cardiology University of Washington Seattle, WA.
  • Liebner E; Department of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY.
  • Liu S; Max Rady College of Medicine, St. Boniface Hospital, Winnipeg, Manitoba, Canada.
  • Miller PE; Department of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
  • Newby LK; Division of Cardiology, Duke University School of Medicine, Durham, NC.
  • O'Brien C; Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA.
  • Papolos A; Departments of Cardiology and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DC.
  • Pisani B; Atrium Wake Forest Baptist, Winston-Salem, NC.
  • Potter B; Centre Hospitalier de l'Université de Montréal Research Center and Cardiovascular Center, Quebec, Canada.
  • Proudfoot A; Perioperative Medicine Department, Barts Heart Centre, St Bartholomew's Hospital, London.
  • Roswell RO; Northwell, New Hyde Park, Cardiovascular Institute, NY; Lenox Hospital, Northwell Health, New York, New York.
  • Sinha SS; Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA.
  • Smith TD; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH.
  • Thompson AD; Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI.
  • van Diepen S; Division of Cardiology, Department of Critical Care Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
  • Zakaria S; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
  • Morrow D; Levine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
  • Villela MA; Northwell, New Hyde Park, Cardiovascular Institute, NY; Lenox Hospital, Northwell Health, New York, New York; Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY. Electronic address: miguel.alvarez.vil@gmail.com.
Am Heart J ; 276: 115-119, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39182940
ABSTRACT

INTRODUCTION:

Despite the growing use of temporary mechanical circulatory support (tMCS), little data exists to inform management and weaning of these devices.

METHODS:

We performed an online survey among cardiac intensive care unit directors in North America to examine current practices in the management of patients treated with intraaortic balloon pump and Impella.

RESULTS:

We received responses from 84% of surveyed centers (n=37). Our survey focused on three key aspects of daily management 1. Hemodynamic monitoring; 2. Hemocompatibility; and 3. Weaning and removal. We found substantial variability surrounding all three areas of care.

CONCLUSION:

Our findings highlight the need for consensus around practices associated with improved outcomes in patients treated with tMCS.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Contrapulsador Intraaórtico Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am Heart J Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Contrapulsador Intraaórtico Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am Heart J Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos