Temporary mechanical devices for cardiac support

Device	Maximum support (L/minute)	RV support	Support duration	Percutaneous implantation	Speed to establish	Contraindications
IABP^[1]	0.5	No	Weeks	Yes	Quick	AI Aortic dissection Abdominal aortic aneurysm
Tandem Heart^[2]	5	No	Four weeks	Yes	Moderate	Moderate to severe AI Ventricular septal defect
Centrimag (VAD)^[3]	10	Yes	Months	Yes	Slow
ECMO	6	Yes	Weeks	Yes	Quick	Prolonged mechanical ventilation (>7 days) Moderate to severe AI
Impella 2.5^[4]	2.5	No	Approximately four weeks	Yes	Moderate	LV thrombus Mechanical AoV Severe AS PFO VSD Significant right heart failure Severe PAD Combined cardiorespiratory failure
Impella 5.0^[5]	5	No	Approximately four weeks	No	Slow

RV: right ventricular; IABP: intra-aortic balloon pump; AI: aortic insufficiency; VAD: ventricular assist device; ECMO: extracorporeal membrane oxygenation; LV: left ventricular; AoV: aortic valve; AS: aortic stenosis; PFO: patent foramen ovale; PAD: peripheral arterial disease.

References:

Kantrowitz A, Tjonneland S, Freed PS, et al. Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA 1968; 203:113.
TandemHeart. Available at: http://www.tandemlife.com/tandemheart-kit/ (Accessed on March 14, 2018).
Thoratec CentriMag. Available at: http://www.thoratec.com/medical-professionals/vad-product-information/thoratec-centrimag.aspx (Accessed on March 14, 2018).
Impella 2.5. Available at: http://www.abiomed.com/impella/impella-25 (Accessed on March 14, 2018).
Impella 5.0. Available at: http://www.abiomed.com/impella/impella-50 (Accessed on March 14, 2018).

Graphic 116235 Version 3.0

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Temporary mechanical devices for cardiac support