Current practices in the management of temporary mechanical circulatory support: A survey of CICU directors in North America - 23/08/24
Doi : 10.1016/j.ahj.2024.05.018
Amrita Balgobind, MD a, Matthew Pierce, MD b, Carlos Alviar, MD c, Christopher Barnett, MD d, Gregory Barsness, MD e, Sunit-preet Chaudhry, MD f, Meshe Chonde, MD g, Howard Cooper, MD h, Lori Daniels, MD i, Umesh Gidwani, MD j, Christopher Fordyce, MD k, Michael Goldfarb, MD l, Jason N. Katz, MD c, Michael Kontos, MD m, Younghoon Kwon, MD n, Evan Liebner, MD, PhD j, o, Shuangbo Liu, MD p, P. Elliott Miller, MD, MHS q, L.K. Newby, MD r, Connor O'Brien, MD d, Alexander Papolos, MD s, Barbara Pisani, DO t, Brian Potter, MD u, Alastair Proudfoot, MD v, Robert O. Roswell, MD b, w, Shashank S. Sinha, MD x, Timothy D. Smith, MD y, Andrea D. Thompson, MD, PhD z, Sean van Diepen, MD aa, Sammy Zakaria, MD, MPH bb, David Morrow, MD, MPH cc, Miguel Alvarez Villela, MD b, w, dd, ⁎ 
a Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
b Northwell, New Hyde Park, Cardiovascular Institute, NY
c Department of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, NY
d Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA
e Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
f Saint Vincent Heart Center, Indianapolis, IN
g Department of Cardiology, Department of Cardiac Surgery, Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA
h Westchester Medical Center and New York Medical College, Valhalla
i Division of Cardiovascular Medicine, Department of Medicine, University of California San Diego, La Jolla
j Department of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY
k University of British Columbia, University of British Columbia Centre for Cardiovascular Innovation, Cardiovascular Health Program, University of British Columbia Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC
l Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
m Division of Cardiology, Virginia Commonwealth University, Richmond, VA
n Division of Cardiology University of Washington Seattle, WA
o Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY
p Max Rady College of Medicine, St. Boniface Hospital, Winnipeg, Manitoba, Canada
q Department of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT
r Division of Cardiology, Duke University School of Medicine, Durham, NC
s Departments of Cardiology and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DC
t Atrium Wake Forest Baptist, Winston-Salem, NC
u Centre Hospitalier de l'Université de Montréal Research Center and Cardiovascular Center, Quebec, Canada
v Perioperative Medicine Department, Barts Heart Centre, St Bartholomew's Hospital, London
w Lenox Hospital, Northwell Health, New York, New York
x Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA
y The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH
z Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI
aa Division of Cardiology, Department of Critical Care Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
bb Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
cc Levine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
dd Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
⁎Reprint requests. 100 East 77th Street, New York, NY 10075.100 East 77th StreetNew YorkNY 10075.
ABSTRACT |
Introduction |
Despite the growing use of temporary mechanical circulatory support (tMCS), little data exists to inform management and weaning of these devices.
Methods |
We performed an online survey among cardiac intensive care unit directors in North America to examine current practices in the management of patients treated with intraaortic balloon pump and Impella.
Results |
We received responses from 84% of surveyed centers (n=37). Our survey focused on three key aspects of daily management: 1. Hemodynamic monitoring; 2. Hemocompatibility; and 3. Weaning and removal. We found substantial variability surrounding all three areas of care.
Conclusion |
Our findings highlight the need for consensus around practices associated with improved outcomes in patients treated with tMCS.
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© 2024
Elsevier Inc. Tous droits réservés.
Vol 276
P. 115-119 - octobre 2024 Retour au numéro
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