title: Mechanical circulatory support devices in the ICU.
abstract: The medical community has used implantable mechanical circulatory support devices at increasing rates for patients dying from heart failure and cardiogenic shock. Newer-generation devices offer a more durable and compact option when compared with bulky early-generation devices. This article is a succinct introduction and overview of the hemodynamic principles and complications after device implantation for ICU clinicians. We review the concepts of device physiology, clinical pearls for perioperative management, and common medical complications after device implantation.
authors.affiliation: Division of Cardiology, Virginia Commonwealth University, Richmond, VA. Electronic address: kshah@mcvh-vcu.edu.
authors.forename: Keyur B
authors.initials: KB
authors.lastname: Shah
authors.affiliation: Division of Cardiology, Virginia Commonwealth University, Richmond, VA.
authors.forename: Melissa C
authors.initials: MC
authors.lastname: Smallfield
authors.affiliation: Division of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, VA.
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Tang
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Virginia Commonwealth University, Richmond, VA.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Malhotra
authors.affiliation: Division of Cardiology, Virginia Commonwealth University, Richmond, VA.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Cooke
authors.affiliation: Division of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, VA.
authors.forename: Vigneshwar
authors.initials: V
authors.lastname: Kasirajan
mesh_terms: D017147:Defibrillators, Implantable; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007362:Intensive Care Units; D019990:Perioperative Care; D011183:Postoperative Complications; D016896:Treatment Outcome