{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T13:49:21Z","timestamp":1777038561431,"version":"3.51.4"},"reference-count":85,"publisher":"Radcliffe Medical Media Ltd","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Card Fail Rev"],"abstract":"<jats:p>Cardiogenic shock (CS) is a challenging syndrome, associated with significant morbidity and mortality. Although pharmacological therapies are successful and can successfully control this acute cardiac illness, some patients remain refractory to drugs. Therefore, a more aggressive treatment strategy is needed. Temporary mechanical circulatory support (TCS) can be used to stabilise patients with decompensated heart failure. In the last two decades, the increased use of TCS has led to several kinds of devices becoming available. However, indications for TCS and device selection are part of a complex process. It is necessary to evaluate  the severity of CS, any early and prompt haemodynamic resuscitation, prior TCS, specific patient risk factors, technical limitations and adequacy of resources and training, as well as an assessment of whether care would be futile. This article examines options for commonly used TCS devices, including intra-aortic balloon pumps, a pulsatile percutaneous ventricular assist device (the iVAC), veno-arterial extra-corporeal membrane oxygenation and Impella (Abiomed) and TandemHeart (LivaNova) percutaneous ventricular assist device.<\/jats:p>","DOI":"10.15420\/cfr.2019.02","type":"journal-article","created":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T13:03:20Z","timestamp":1584709400000},"source":"Crossref","is-referenced-by-count":34,"title":["Temporary Mechanical Circulatory Support in Acute Heart Failure"],"prefix":"10.15420","volume":"6","author":[{"given":"Federica","family":"Jiritano","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Cardiac Surgery Unit, University Magna Graecia of Catanzaro, Catanzaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Lo Coco","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Matteucci","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Fina","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; University of Milan, IRCCS Policlinico San Donato, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Willers","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6096","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Mebazaa A, Combes A, Van Diepen S, et al. Management of cardiogenic shock complicating myocardial infarction. Intensive Care Med 2018;44:760\u201373. https:\/\/doi.org\/10.1007\/s00134-018-5214-9; PMID: 29767322.","DOI":"10.1007\/s00134-018-5214-9"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"van Diepen S, Katz JN, Albert NM, et al. Contemporary management of cardiogenic shock: a scientific statement from the American Heart Association. Circulation 2017;136:e232\u201368. https:\/\/doi.org\/10.1161\/CIR.0000000000000525; PMID: 28923988.","DOI":"10.1161\/cir.0000000000000525"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Esposito ML, Kapur NK. Acute mechanical circulatory support for cardiogenic shock: the \u201cdoor to support\u201d time. F1000Res 2017;6:737. https:\/\/doi.org\/10.12688\/f1000research.11150.1; PMID: 28580136.","DOI":"10.12688\/f1000research.11150.1"},{"key":"ref3","unstructured":"Kantrowitz A, Tjonneland S, Freed PS, et al. 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Mechanical circulatory support with impella to facilitate percutaneous coronary intervention for post-TAVI bilateral coronary obstruction. Catheter Cardiovasc Interv 2016;88:E34\u20137. https:\/\/doi.org\/10.1002\/ccd.26075; PMID: 26104838.","DOI":"10.1002\/ccd.26075"},{"key":"ref33","doi-asserted-by":"publisher","unstructured":"Anderson MB, Goldstein J, Milano C, et al. Benefits of a novel percutaneous ventricular assist device for right heart failure: the prospective RECOVER RIGHT study of the Impella RP device. J Heart Lung Transplant 2015;34:1549\u201360. https:\/\/doi.org\/10.1016\/j.healun.2015.08.018; PMID: 26681124.","DOI":"10.1016\/j.healun.2015.08.018"},{"key":"ref34","doi-asserted-by":"publisher","unstructured":"Kapur NK, Paruchuri V, Pham DT, et al. Hemodynamic effects of left atrial or left ventricular cannulation for acute circulatory support in a bovine model of left heart injury. 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The current use of Impella 2.5 in acute myocardial infarction complicated by cardiogenic shock: results from the USpella Registry. J Interv Cardiol 2014;27:1\u201311. https:\/\/doi.org\/10.1111\/joic.12080; PMID: 24329756.","DOI":"10.1111\/joic.12080"},{"key":"ref38","doi-asserted-by":"publisher","unstructured":"Engstr\u00f6m AE, Cocchieri R, Driessen AH, et al. The Impella 2.5 and 5.0 devices for ST-elevation myocardial infarction patients presenting with severe and profound cardiogenic shock: the Academic Medical Center intensive care unit experience. Crit Care Med 201;39:2072\u20139. https:\/\/doi.org\/10.1097\/CCM.0b013e31821e89b5; PMID: 21602670.","DOI":"10.1097\/ccm.0b013e31821e89b5"},{"key":"ref39","doi-asserted-by":"publisher","unstructured":"Seyfarth M, Sibbing D, Bauer I, et al. A randomized clinical trial to evaluate the safety and efficacy of a percutaneous left ventricular assist device versus intra-aortic balloon pumping for treatment of cardiogenic shock caused by myocardial infarction. J Am Coll Cardiol 2008;52:1584\u20138. https:\/\/doi.org\/10.1016\/j.jacc.2008.05.065; PMID: 19007597.","DOI":"10.1016\/j.jacc.2008.05.065"},{"key":"ref40","unstructured":"Ouweneel DM, Eriksen E, Sjauw KD, et al. Percutaneous mechanical circulatory support versus intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction. J Am Coll Cardiol 2017;39:78\u2013287. https:\/\/doi.org\/10.1016\/j.jacc.2016.10.022; PMID: 27810347."},{"key":"ref41","doi-asserted-by":"publisher","unstructured":"Koeckert MS, Jorde UP, Naka Y, et al. Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support. 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