Current practices in the management of temporary mechanical circulatory support: A survey of CICU directors in North America

Am Heart J. 2024 Oct:276:115-119. doi: 10.1016/j.ahj.2024.05.018. Epub 2024 Jul 30.

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.

MeSH terms

  • Device Removal / methods
  • Device Removal / statistics & numerical data
  • Heart Failure / therapy
  • Heart-Assist Devices*
  • Hemodynamic Monitoring / methods
  • Humans
  • Intra-Aortic Balloon Pumping* / methods
  • Intra-Aortic Balloon Pumping* / statistics & numerical data
  • North America
  • Surveys and Questionnaires