Singhvi Aditi, Punnen Julius
Narayana Institute of Cardiac Sciences, Narayana Health, Bommasandra Industrial Area, Bengaluru, Karnataka 560099 India.
Indian J Thorac Cardiovasc Surg. 2023 Jul;39(Suppl 1):47-62. doi: 10.1007/s12055-023-01530-7. Epub 2023 Jun 24.
Cardiogenic shock continues to have high morbidity and mortality, despite advances in the field. Temporary mechanical circulatory support (TMCS) devices, if instituted in a timely fashion, can help stabilize critically ill patients with cardiogenic shock from various aetiologies and cardiac arrest, and provide time for organ recovery or till durable support or transplantation can be achieved. Currently, several options for TMCS devices exist. In this review, we discuss indications, contraindications, characteristics of the various available devices, and important issues pertaining to their management.
尽管该领域取得了进展,但心源性休克的发病率和死亡率仍然很高。临时机械循环支持(TMCS)设备如果及时应用,可帮助稳定各种病因所致心源性休克和心脏骤停的重症患者,为器官恢复争取时间,或直至能够实现持久支持或移植。目前,TMCS设备有多种选择。在本综述中,我们讨论了适应证、禁忌证、各种可用设备的特点以及与其管理相关的重要问题。