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These include axial flow pumps, such as Impella\u00ae; left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability. This document reviews the physiologic impact on the circulation of these devices and their use in specific clinical situations. These situations include patients undergoing high\u2010risk percutaneous coronary intervention, those presenting with cardiogenic shock, and acute decompensated heart failure. Specialized uses for right\u2010sided support and in pediatric populations are discussed and the clinical utility of mechanical circulatory support devices is reviewed, as are the American College of Cardiology\/American Heart Association clinical practice guidelines. \u00a9 2015 by The Society for Cardiovascular Angiography and Interventions, The American College of Cardiology Foundation, The Heart Failure Society of America, and The Society for Thoracic Surgery.<\/jats:p>","DOI":"10.1002\/ccd.25720","type":"journal-article","created":{"date-parts":[[2015,4,7]],"date-time":"2015-04-07T14:00:18Z","timestamp":1428415218000},"source":"Crossref","is-referenced-by-count":30,"title":["2015 SCAI\/ACC\/HFSA\/STS clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care (Endorsed by the American heart assocation, the cardiological society of India, and sociedad latino Americana de cardiologia intervencion; Affirmation of value by the canadian association of interventional cardiology\u2013association canadienne de cardiologie d'intervention)"],"prefix":"10.1002","volume":"85","author":[{"given":"Charanjit S.","family":"Rihal","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Diseases Mayo Clinic Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srihari S.","family":"Naidu","sequence":"additional","affiliation":[{"name":"Division of Cardiology Winthrop University Hospital Mineola New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Givertz","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Brigham and Women's Hospital Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson Y.","family":"Szeto","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Burke","sequence":"additional","affiliation":[{"name":"Division of Cardiology Lehigh Valley Heart Specialists  Allentown, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navin K.","family":"Kapur","sequence":"additional","affiliation":[{"name":"Cardiology Tufts Medical Center Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morton","family":"Kern","sequence":"additional","affiliation":[{"name":"Division of Cardiology UCI Medical Center Orange CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk N.","family":"Garratt","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Vascular Services, Heart and Vascular Institute of New York Lenox Hill Hospital New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James 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