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خرید پکیج
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Temporary mechanical devices for cardiac support

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 CP[4] >4.3 No <4 days Yes Quick
  • LV thrombus
  • Mechanical AoV
  • Severe AS
  • VSD
  • Significant right heart failure
  • Severe PAD
  • Combined cardiorespiratory failure
Impella 5.5[5] 5.5 No Weeks Yes Quick
Impella RP[6] >4 Yes Weeks Yes Quick
  • Pulmonary artery abnormalities (thrombus, aneurysm)
  • Significant TV or PV stenosis
  • TV and PV prosthetic mechanical valves
  • Significant PV regurgitation
  • Right sided thrombus
  • IVC filter (Impella RP)
  • SVC abnormalities (Impella RP Flex)
Impella RP Flex >4 Yes Weeks Yes Quick
AI: aortic insufficiency; AoV: aortic valve; AS: aortic stenosis; ECMO: extracorporeal membrane oxygenation; IABP: intra-aortic balloon pump; IVC: inferior vena cava; LV: left ventricular; PAD: peripheral arterial disease; PFO: patent foramen ovale; PV: pulmonic valve; RV: right ventricular; TV: tricuspid valve; VAD: ventricular assist device; VSD: ventricular septal defect.
References:
  1. Kantrowitz A, Tjonneland S, Freed PS, et al. Initial clinical experience with intraaortic balloon pumping in cardiogenic shock. JAMA 1968; 203:113.
  2. TandemHeart. https://www.livanova.com/advanced-circulatory-support/en-us/tandemheart-kit (Accessed on May 14, 2024).
  3. Thoratec CentriMag. http://www.thoratec.com/medical-professionals/vad-product-information/thoratec-centrimag.aspx (Accessed on March 14, 2018).
  4. Impella CP. https://www.abiomed.com/products-and-services/impella/impella-cp-with-smartassist (Accessed on November 16, 2023).
  5. Impella 5.5. https://www.abiomed.com/products-and-services/impella/impella-55-with-smartassist (Accessed on November 16, 2023).
  6. Impella RP. https://www.abiomed.com/products-and-services/impella/impella-rp-with-smartassist (Accessed on November 16, 2023).
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