title: Mechanical circulatory support in cardiogenic shock - what every interventional cardiologist should know.
abstract: Cardiogenic shock (CS) remains the main cause of death in patients with myocardial infarction. Conservative treatment alone does not sufficiently improve prognosis. Mortality in CS can only be significantly reduced with revascularization, both surgical and percutaneous. However some patients present with haemodynamic instability despite optimal medical treatment and complete revascularization, resulting in very high mortality rates. These patients require the implementation of mechanical circulatory support in order to increase systemic blood flow, protect against organ hypoperfusion and protect the myocardium through a decrease in oxygen consumption. In contemporary interventional cardiology it seems that every operator should be aware of all available mechanical circulatory support methods for their patients. This article aims to present the current state of knowledge and technical possibilities in this area.
authors.affiliation: Department of Heart and Vascular Disease, 3rd Department of Cardiology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Lukasz
authors.initials: L
authors.lastname: Pyka
authors.affiliation: Department of Heart and Vascular Disease, 3rd Department of Cardiology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Damian
authors.initials: D
authors.lastname: Pres
authors.affiliation: Department of Cardiac Surgery and Transplantology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Roman
authors.initials: R
authors.lastname: Przybylski
authors.affiliation: Department of Cardiac Surgery and Transplantology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Pacholewicz
authors.affiliation: 3 Department of Cardiology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Lech
authors.initials: L
authors.lastname: Poloński
authors.affiliation: Department of Cardiac Surgery and Transplantology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Zembala
authors.affiliation: Department of Heart and Vascular Disease, 3rd Department of Cardiology, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Gąsior
keywords: extracorporeal membrane oxygenation; mechanical circulatory support; percutaneous ventricular assist devices; shock