The why, when and who of mechanical circulatory support
The intra-aortic balloon pump (IABP) has long been the first-line choice for mechanical circulatory support due to its clinical efficacy, safety profile across a broad range of patient care scenarios, and low cost.
Recent debate regarding the IABP has centered on the discrepant results obtained from randomized, controlled trials (RCTs), versus the benefits observed by clinicians in decades of clinical practice.
This series of educational programs reviews the physiological principles behind current circulatory support therapies.
Slides presented by the Champions of the Cath Lab
This three-module series educational program provides
- A review of the physiological principles behind mechanical circulatory support; ranging from inotropes and IABP therapy to percutaneous left ventricular assist devices (pVADs) and extracorporeal pumps
- Discussion points relative to the dichotomy between trial results and clinical practice
- Discussion utilizing case examples that demonstrate how to determine patient selection for mechanical circulatory support
Download the slides
What everyone should know about the clinical and economic effectiveness of pVADS
Hospital systems could avoid incremental costs of up to $2.5 billion annually by using IABP as an initial therapy in high-risk PCI and cardiogenic shock patients.
IABP should be implemented as a first-line strategy for cardiogenic shock and high risk PCI.
Hemodynamic effects of standard vs. larger-capacity intra-aortic balloon counterpulsation pumps
The first reported patient comparison on 40cc vs. 50cc supports our bench test results - 50cc IAB may yield better clinical outcomes than standard 40cc IAB. The 50cc IAB provides:
- Greater diastolic augmentation and provides greater systolic unloading
- Significant decrease in cardiac filling pressures and increase of cardiac output
Device Options in the Cath Lab - Practical Patient Support
Joseph L. Thomas, MD, FSCAI
Assistant Health Science Clinical Professor David Geffen School of Medicine
Director, Interventional Cardiology Harbor-UCLA Medical Center
The use of percutaneous mechanical circulatory support (MCS) has been rapidly evolving as devices become smaller, more efficient, easier to deploy, and less invasive. The purpose of this session is to share an expert's experience on the use of counterpulsation therapy in the treatment of patients at high risk for cardiovascular compromise during percutaneous coronary intervention considering current evidence, risk of complication, and cost.