[Left ventricular assist devices in cardiogenic shock].
Cardiogenic shock is the leading cause of in-hospital death for myocardial infarction. Despite therapeutic improvements, such as medical treatment with inotropes, myocardial revascularization, circulatory assistance can be an option. Intra-aortic balloon pumping is highly recommended in the presence of haemodynamic impairment. If the patient continues to deteriorate and cardiac function cannot maintain adequate circulation to prevent end-organ failure, several mechanical circulatory assist devices can be considered: extracorporeal membrane oxygenator (ECMO), Impella(®)… These devices should be used at tertiary centres either as bridge to recovery or as bridge to transplantation or as bridge to long-term left ventricle assist device.
Hôpital de Rangueil, CHU de Toulouse, France.
N
N
Boudou
B
B
Marcheix
C
C
Biendel-Piquet
N
N
Dumonteil
T
T
Lhermusier
H
H
Benhaoua
D
D
Carrié
D006353:Heart-Assist Devices; D006801:Humans; D012770:Shock, Cardiogenic / Q000601:surgery*