{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T19:04:55Z","timestamp":1781031895784,"version":"3.54.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Short-term percutaneous mechanical circulatory support by a micro-axial flow pump is increasingly used to support the left ventricle in cardiogenic shock. After a correct indication and placement, appropriate device management in the cardiac intensive care unit is vital to ensure optimal pump function and adequate haemodynamic support. A key element hereby is a correct percutaneous ventricular assist device (pVAD) position. This review explains how an optimal left-sided pVAD position can be achieved and maintained, focusing on the correct insertion depth and rotational angle. Useful imaging techniques, placement and replacement manoeuvres, and monitoring options through the console are discussed. The frequently encountered problem of mal-rotation towards the mitral valve, which may cause suction alarms, haemolysis, aortic regurgitation, and inadequate haemodynamic support, is explained. Finally, a practical bedside approach to assess pVAD position and discern suction alarms due to mal-positioning from haemodynamic problems is proposed.<\/jats:p>","DOI":"10.1093\/ehjacc\/zuad097","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T19:12:42Z","timestamp":1692731562000},"page":"869-877","source":"Crossref","is-referenced-by-count":2,"title":["Short-term percutaneous mechanical circulatory support: no promise without positioning!"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2129-5891","authenticated-orcid":false,"given":"Tim","family":"Balthazar","sequence":"first","affiliation":[{"name":"Centre for Cardiovascular Diseases, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"},{"name":"Department of Intensive Care, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas M","family":"Van Mieghem","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Erasmus Medical Centre , Rotterdam 3015 CN , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Raes","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4891-9369","authenticated-orcid":false,"given":"Ines","family":"Van Loo","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Diseases, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederik H","family":"Verbrugge","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Diseases, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"},{"name":"Department of Intensive Care, University Hospital Brussels , Laarbeeklaan 101, Jette 1090 , Belgium"},{"name":"Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel , Jette 1090 , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"2023122115591457200_zuad097-B1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1161\/CIRCULATIONAHA.119.044007","article-title":"The evolving landscape of Impella use in the United States among patients undergoing percutaneous coronary intervention with mechanical circulatory support","volume":"141","author":"Amin","year":"2020","journal-title":"Circulation"},{"key":"2023122115591457200_zuad097-B2","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/j.jacc.2020.12.054","article-title":"Managing patients with short-term mechanical circulatory support","volume":"77","author":"Balthazar","year":"2021","journal-title":"J Am Coll 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