The role of acute circulatory support in ST-segment elevation myocardial infarction complicated by cardiogenic shock
Autor: | Andrew Mullin, Navin K. Kapur, Yousef Bader, Catalina Breton, Michele Esposito, Robert Pedicini |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
RD1-811 medicine.medical_treatment Shock Cardiogenic Hemodynamics Review Article Acute myocardial infarction 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Extracorporeal Membrane Oxygenation Mechanical circulatory support Internal medicine Extracorporeal membrane oxygenation Medicine ST segment Humans Diseases of the circulatory (Cardiovascular) system 030212 general & internal medicine Myocardial infarction cardiovascular diseases Impella business.industry Cardiogenic shock Percutaneous coronary intervention medicine.disease Treatment Outcome surgical procedures operative RC666-701 Circulatory system Cardiology ST Elevation Myocardial Infarction Surgery Heart-Assist Devices Cardiology and Cardiovascular Medicine business |
Zdroj: | Indian Heart Journal, Vol 69, Iss 5, Pp 668-674 (2017) Indian Heart Journal |
ISSN: | 0019-4832 |
Popis: | In the setting of ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock, three primary treatment objectives include providing circulatory support, ventricular unloading, and restoring myocardial perfusion. In addition to primary percutaneous coronary intervention, each of these three objectives can be achieved with appropriate use of an acute mechanical circulatory support (AMCS) pump. Over the past decade, utilization of percutaneously-delivered AMCS devices including the Impella axial-flow catheter, TandemHeart left atrial-to-femoral artery bypass system, and veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has grown exponentially. In this review, we will discuss the hemodynamic impact of each AMCS device and clinical data surrounding their use in the setting of STEMI complicated by cardiogenic shock. |
Databáze: | OpenAIRE |
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