title: Cardiogenic shock: From ECMO to Impella and beyond.
abstract: For patients in cardiogenic shock, several devices can serve as a "bridge," ie, provide circulatory support and allow the patient to live long enough to recover or to receive a heart transplant or a long-term device. Options include an intra-aortic balloon pump, TandemHeart, Impella, extracorporeal membrane oxygenation (ECMO), and CentriMag. Which device to use depends on individual patient needs, local expertise, and anatomic and physiologic considerations.
authors.affiliation: Medical Director, Endovascular Services, Department of Cardiovascular Medicine, and Associate Program Director, Interventional Cardiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. shishem@ccf.org.
authors.forename: Mehdi H
authors.initials: MH
authors.lastname: Shishehbor
authors.affiliation: Surgical Director, Heart Failure, Heart/Cardiac TX and Mechanical Circulatory Support, Heart and Vascular institute, and Biomedical Engineering, Cleveland Clinic;, Cleveland, OH, USA.|Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Nader
authors.initials: N
authors.lastname: Moazami
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Michael Zhen-Yu
authors.initials: MZ
authors.lastname: Tong
authors.affiliation: Clinical Associate, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Shinya
authors.initials: S
authors.lastname: Unai
authors.affiliation: Center for Clinical Genomics, Department of Cardiovascular Medicine, Department of Cellular and Molecular Medicine, Genomic Medicine Institute, Critical Care Center, and Transplantation Center, Cleveland Clinic, Cleveland, OH, USA.|Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
authors.forename: W H Wilson
authors.initials: WH
authors.lastname: Tang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.|Director, Cardiac Surgery Affiliate Programs, Cleveland Clinic, Cleveland, OH, USA.|Program Director, Residency and Fellowship Program, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Edward G
authors.initials: EG
authors.lastname: Soltesz
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D002316:Cardiotonic Agents / Q000627:therapeutic use; D000066491:Clinical Decision-Making; D015199:Extracorporeal Membrane Oxygenation; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D013318:Stroke Volume; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000503:physiopathology / Q000628:therapy*
chemical_list: D000889:Anti-Arrhythmia Agents; D002316:Cardiotonic Agents