title: [Circulatory support in cardiology].
abstract: Mechanical cardiac assist had progressively changed. Emergency depends of INTERMACS classification. The clinical evolution of patients under cardiac assist determines patient follow up: long duration mechanical support (and not "destination therapy"), recovery and weaning or planned heart transplantation. In case of emergency, extracorporeal membrane oxygenation allowed to stabilize patients and oriented them to one of these options.
authors.affiliation: Département d'anesthésie-réanimation, Institut de cardiologie, groupe hospitalier La Pitié-Salpêtrière, 75651 Paris Cedex 13, France. philippe.leger@psl.aphp.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Léger
authors.affiliation: Service de chirurgie thoracique et cardiovasculaire, Institut de cardiologie, groupe hospitalier La Pitié-Salpêtrière, 75651 Paris Cedex 13, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Pavie
mesh_terms: D001243:Assisted Circulation / Q000706:statistics & numerical data*; D002309:Cardiology / Q000295:instrumentation / Q000379:methods*; D004553:Electric Conductivity; D006353:Heart-Assist Devices / Q000706:statistics & numerical data; D006801:Humans