title: Percutaneous Ventricular Assist Devices and ECMO in the Management of Acute Decompensated Heart Failure.
abstract: The successful treatment of acute decompensated heart failure continues to evolve with an increasing utilization of nondurable mechanical support devices. Indications for acute support have broadened to include their use as a bridge to recovery or decision (for durable ventricular assist devices [VADs] or heart transplant). Available devices have improved in terms of effectiveness, ease of insertion, and reduction in complications. The commonly used devices (intra-aortic balloon pump, TandemHeart, Impella, and extracorporeal membrane oxygenation circuit), together with their mechanisms of action, are reviewed. Current considerations for support, specific to each device, are examined and future directions and indications for percutaneous VADs are explored.
authors.affiliation: Division of Cardiology, State University of New York, Stony Brook, NY, USA.
authors.forename: William E
authors.initials: WE
authors.lastname: Lawson
authors.affiliation: Division of Cardiology, State University of New York, Stony Brook, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Koo
keywords: acute heart failure; circulatory support