title: New Innovations in Circulatory Support With Ventricular Assist Device and Extracorporeal Membrane Oxygenation Therapy.
abstract: The past decade has seen an exponential increase in the application and development of durable long-term as well as nondurable short-term mechanical circulatory support for cardiogenic shock and acute or chronic heart failure. Support has evolved from bridge-to-transplant to destination therapy, bridge to rescue, bridge to decision making, and bridge to a bridge. Notable trends include device miniaturization, minimally invasive and/or percutaneous insertion, and efforts to superimpose pulsatility on continuous flow. We can certainly anticipate that innovation will accelerate in the months and years to come. However, despite-or perhaps because of-the enhanced equipment now available, mechanical circulatory support is an expensive, complex, resource-intensive modality. It requires considerable expertise that should preferably be centralized to highly specialized centers. Formidable challenges remain: systemic inflammatory response syndromes and vasoplegia after device insertion; postoperative sepsis; optimal anticoagulation regimens to prevent device-induced thrombosis and cerebral thromboembolism; wound site, intracranial, and gastrointestinal bleeding; multisystem injury and failure; patient dissatisfaction (even when providers consider the procedure a "success"); and ethical decision making in conditions of futility.
authors.affiliation: From the Department of Anesthesiology, Columbia University Medical Center, New York, New York.
authors.forename: Robert N
authors.initials: RN
authors.lastname: Sladen
mesh_terms: D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods* / Q000639:trends*; D006333:Heart Failure / Q000175:diagnosis / Q000601:surgery; D006354:Heart, Artificial / Q000639:trends*; D006353:Heart-Assist Devices / Q000639:trends*; D006801:Humans; D062069:Inventions / Q000639:trends*; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000601:surgery