{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:55:10Z","timestamp":1792292110366,"version":"4.4.0"},"reference-count":29,"publisher":"AACN Publishing","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Topic<\/jats:title>\n                  <jats:p>The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Relevance<\/jats:title>\n                  <jats:p>The critical care nurse plays a crucial role in managing patients receiving acute mechanical circulatory support devices and monitoring for potential complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>To review the anatomical placement and mechanics of each type of device so that nurses can anticipate patients\u2019 hemodynamic responses and avoid complications whenever possible, thereby improving patients\u2019 clinical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Content Covered<\/jats:title>\n                  <jats:p>Nursing considerations regarding the intra-aortic balloon pump, the TandemHeart, the Impella, and extracorporeal membrane oxygenation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2020764","type":"journal-article","created":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:05:26Z","timestamp":1580515526000},"page":"e1-e11","source":"Crossref","is-referenced-by-count":14,"title":["Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices"],"prefix":"10.4037","volume":"40","author":[{"given":"Samantha R.","family":"Asber","sequence":"first","affiliation":[{"name":"Samantha R. Asber is Nurse Manager, Cardiac Catheterization Laboratory, Tufts Medical Center, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth P.","family":"Shanahan","sequence":"additional","affiliation":[{"name":"Kenneth P. Shanahan is Clinical Nurse Director of Cardiovascular Services, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Lussier","sequence":"additional","affiliation":[{"name":"Leslie Lussier is Director, Respiratory Care, ECMO, and Pulmonary Function Test Laboratory, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Didomenico","sequence":"additional","affiliation":[{"name":"Dorothy Didomenico is Cardiovascular Critical Care Clinical Educator and Advanced Cardiac Life Support Coordinator, Tufts Medical Center, and president of the Greater Boston chapter of the American Association of Critical-Care Nurses."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa","family":"Davis","sequence":"additional","affiliation":[{"name":"Marissa Davis is a former cardiovascular critical care clinical educator, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Eaton","sequence":"additional","affiliation":[{"name":"Jennifer Eaton is a nurse in the operating room, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Esposito","sequence":"additional","affiliation":[{"name":"Michele Esposito is a clinical cardiology fellow, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navin K.","family":"Kapur","sequence":"additional","affiliation":[{"name":"Navin K. Kapur is Executive Director, CardioVascular Center for Research and Innovation, and Director, Acute Mechanical Circulatory Support Program, Tufts Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"issue":"5","key":"2020013119075969100_b1-04000e1","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.ahj.2014.07.005","article-title":"The association of myocardial infarction process of care measures and in-hospital mortality: a report from the NCDR","volume":"168","author":"Kontos","year":"2014","journal-title":"Am Heart J"},{"issue":"1","key":"2020013119075969100_b2-04000e1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jacc.2008.08.067","article-title":"Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction","volume":"53","author":"Ezekowitz","year":"2009","journal-title":"J Am Coll Cardiol"},{"issue":"7","key":"2020013119075969100_b3-04000e1","doi-asserted-by":"publisher","first-page":"e46","DOI":"10.1161\/circulationaha.109.192667","article-title":"Heart disease and stroke statistics\u20142010 update: a report from the American Heart Association","volume":"121","author":"Lloyd-Jones","year":"2010","journal-title":"Circulation"},{"key":"2020013119075969100_b4-04000e1","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s12170-016-0524-3","article-title":"Door to unload: a new paradigm for the management of cardiogenic shock","volume":"10","author":"Kapur","year":"2016","journal-title":"Curr Cardiovasc Risk Rep"},{"issue":"2","key":"2020013119075969100_b5-04000e1","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.hfc.2014.12.012","article-title":"Hemodynamic support with percutaneous devices in patients with heart failure","volume":"11","author":"Kapur","year":"2015","journal-title":"Heart Failure Clin"},{"issue":"1","key":"2020013119075969100_b6-04000e1","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/s12872-016-0323-2","article-title":"The effectiveness of intra-aortic balloon pump for myocardial infarction in patients with or without cardio-genic shock: a meta-analysis and systematic review","volume":"16","author":"Zheng","year":"2016","journal-title":"BMC Cardiovasc Disord"},{"key":"2020013119075969100_b7-04000e1","first-page":"443","article-title":"Intraaortic balloon pump management","volume-title":"AACN Procedure Manual for Critical Care","author":"Castelluci","year":"2011","edition":"6th"},{"issue":"2","key":"2020013119075969100_b8-04000e1","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1177\/1089253214555026","article-title":"Management of intra-aortic balloon pumps","volume":"19","author":"Webb","year":"2015","journal-title":"Semin Cardiothorac Vasc Anesth"},{"issue":"37","key":"2020013119075969100_b9-04000e1","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1093\/eurheartj\/ehu278","article-title":"2014 ESC\/EACTS guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS), developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI)","volume":"35","author":"Windecker","year":"2014","journal-title":"Eur Heart J"},{"issue":"19","key":"2020013119075969100_b10-04000e1","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1056\/NEJM197305102881901","article-title":"Intra-aortic balloon counterpulsation in cardiogenic shock: report of a co-operative clinical trial","volume":"288","author":"Scheidt","year":"1973","journal-title":"N Engl J Med"},{"issue":"19","key":"2020013119075969100_b11-04000e1","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1016\/j.jacc.2015.03.036","article-title":"2015 SCAI\/ACC\/HFSA\/STS clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care","volume":"65","author":"Rihal","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"2020013119075969100_b12-04000e1","unstructured":"Maquet Getinge Group\n          . Intra-aortic balloon counterpulsation therapy: theory program. Getinge website. https:\/\/getinge.training\/d\/course\/1010001718\/. Published 2018. 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Impella Ventricular Support Systems for Use During Cardio-genic Shock: Impella\u00ae 2.5, 5.0, LD and Impella CP\u00ae: Instructions for Use and Clinical Reference Manual. http:\/\/abiomed-private.s3.amazonaws.com\/assets\/files\/impella\/148222787018871d7d537618808400dd1f34129077.pdf. Published August 2016. Accessed October 6, 2017."},{"issue":"1","key":"2020013119075969100_b19-04000e1","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.4037\/ccn2011293","article-title":"Use of the Impella 2.5 in high-risk percutaneous coronary intervention","volume":"31","author":"McCulloch","year":"2011","journal-title":"Crit Care Nurse"},{"key":"2020013119075969100_b20-04000e1","unstructured":"Abiomed\n          . Impella RP\u00ae System with the Automated Impella\u00ae Controller: Instructions for Use and Clinical Reference Manual. http:\/\/abiomed-private.s3.amazonaws.com\/assets\/files\/1506700853fea7e9edaf69d94d1b27b7f4a4dbbae2.pdf. Published September 2017. 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