Cardiology Tall Rounds

Cardiogenic shock: From ECMO to Impella and beyond

Mehdi H. Shishehbor, DO, MPH, PhD, Nader Moazami, MD, Michael Z.-Y. Tong, MD, MBP, Shinya Unai, MD, W. H. Wilson Tang, MD and Edward G. Soltesz, Md, MPH
Cleveland Clinic Journal of Medicine April 2017, 84 (4) 287-295; DOI: https://doi.org/10.3949/ccjm.84gr.17002

ABSTRACT

For patients in cardiogenic shock, several devices can serve as a “bridge,” ie, provide circulatory support and allow the patient to live long enough to recover or to receive a heart transplant or a long-term device. Options include an intraaortic balloon pump, TandemHeart, Impella, extracorporeal membrane oxygenation (ECMO), and CentriMag. Which device to use depends on individual patient needs, local expertise, and anatomic and physiologic considerations.

View Full Text
  1. Mehdi H. Shishehbor, DO, MPH, PhD⇑
  1. Medical Director, Endovascular Services, Department of Cardiovascular Medicine, and Associate Program Director, Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic
  1. ADDRESS:
    Mehdi H. Shishehbor, DO, MPH, PhD, Heart and Vascular Institute, J3-05, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; shishem{at}ccf.org
  1. Nader Moazami, MD
  1. Surgical Director, Heart Failure, Heart/Cardiac TX and Mechanical Circulatory Support, Heart and Vascular institute, and Biomedical Engineering, Cleveland Clinic
  2. Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Michael Z.-Y. Tong, MD, MBP
  1. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic
  1. Shinya Unai, MD
  1. Clinical Associate, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic
  1. W. H. Wilson Tang, MD
  1. Center for Clinical Genomics, Department of Cardiovascular Medicine, Department of Cellular and Molecular Medicine, Genomic Medicine Institute, Critical Care Center, and Transplantation Center, Cleveland Clinic
  2. Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Edward G. Soltesz, Md, MPH
  1. Department of Thoracic and Cardiovascular Surgery
  2. Director, Cardiac Surgery Affiliate Programs
  3. Program Director, Residency and Fellowship Program, Cleveland Clinic

ABSTRACT

For patients in cardiogenic shock, several devices can serve as a “bridge,” ie, provide circulatory support and allow the patient to live long enough to recover or to receive a heart transplant or a long-term device. Options include an intraaortic balloon pump, TandemHeart, Impella, extracorporeal membrane oxygenation (ECMO), and CentriMag. Which device to use depends on individual patient needs, local expertise, and anatomic and physiologic considerations.

View Full Text
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Subjects