Current practices in the management of temporary mechanical circulatory support: A survey of CICU directors in North America

被引:0
|
作者
Balgobind, Amrita [1 ]
Pierce, Matthew [2 ]
Alviar, Carlos [3 ]
Barnett, Christopher [4 ]
Barsness, Gregory [5 ]
Chaudhry, Sunit-preet [6 ]
Chonde, Meshe [7 ]
Cooper, Howard [8 ,9 ]
Daniels, Lori [10 ]
Gidwani, Umesh [11 ]
Fordyce, Christopher [12 ]
Goldfarb, Michael [13 ]
Katz, Jason N. [3 ]
Kontos, Michael [14 ]
Kwon, Younghoon [15 ]
Liebner, Evan [11 ,16 ]
Liu, Shuangbo [17 ]
Miller, P. Elliott [18 ]
Newby, L. K. [19 ]
O'Brien, Connor [4 ]
Papolos, Alexander [20 ]
Pisani, Barbara [21 ]
Potter, Brian [22 ]
Proudfoot, Alastair [23 ]
Roswell, Robert O. [2 ,24 ]
Sinha, Shashank S. [25 ]
Smith, Timothy D. [26 ]
Thompson, Andrea D. [27 ]
van Diepen, Sean [28 ]
Zakaria, Sammy [29 ]
Morrow, David [30 ]
Villela, Miguel Alvarez [2 ,31 ]
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Internal Med, Bronx, NY USA
[2] Northwell, Cardiovasc Inst, New Hyde Pk, NY USA
[3] NYU, Grossman Sch Med, Dept Med, New York, NY USA
[4] Univ Calif San Francisco, Dept Med, Div Cardiol, San Francisco, CA USA
[5] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA
[6] St Vincent Heart Ctr, Indianapolis, IN USA
[7] Smidt Heart Inst, Cedars Sinai Med Ctr, Dept Cardiol, Dept Cardiac Surg, Los Angeles, CA USA
[8] Westchester Med Ctr, Valhalla, NY USA
[9] New York Med Coll, Valhalla, NY USA
[10] Univ Calif San Diego, Div Cardiovasc Med, Dept Med, La Jolla, DE USA
[11] Icahn Sch Med Mt Sinai, Mt Sinai Hosp, Dept Crit Care Med, New York, NY USA
[12] Univ British Columbia, Ctr Cardiovasc Innovat, Vancouver, BC, Canada
[13] McGill Univ, Jewish Gen Hosp, Div Cardiol, Montreal, PQ, Canada
[14] Virginia Commonwealth Univ, Div Cardiol, Richmond, VA USA
[15] Univ Washington, Div Cardiol, Seattle, WA USA
[16] Icahn Sch Med Mt Sinai, Mt Sinai Hosp, Dept Emergency Med, New York, NY USA
[17] St Boniface Gen Hosp, Max Rady Coll Med, Winnipeg, MB, Canada
[18] Yale Sch Med, Dept Cardiovasc Med, New Haven, CT USA
[19] Duke Univ, Sch Med, Div Cardiol, Durham, NC USA
[20] MedStar Washington Hosp Ctr, Dept Cardiol & Crit Care Med, Washington, DC USA
[21] Atrium Wake Forest Baptist, Winston Salem, NC USA
[22] Ctr Hosp Univ Montreal Res Ctr, Montreal, PQ, Canada
[23] St Bartholomews Hosp, Barts Heart Ctr, Perioperat Med Dept, London, England
[24] Northwell Hlth, Lenox Hosp, New York, NY USA
[25] Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA
[26] Christ Hosp, Carl & Edyth Lindner Ctr Res & Educ, Cincinnati, OH USA
[27] Univ Michigan, Dept Internal Med, Div Cardiovasc Med, Ann Arbor, MI USA
[28] Univ Alberta, Dept Crit Care Med, Dept Med, Div Cardiol, Edmonton, AB, Canada
[29] Johns Hopkins Univ, Sch Med, Dept Med, Div Cardiol, Baltimore, MD USA
[30] Brigham & Womens Hosp, Harvard Med Sch, TIMI Study Grp Cardiovasc Div Dept Med, Levine Cardiac Intens Care Unit, Boston, MA USA
[31] Montefiore Med Ctr, Albert Einstein Coll Med, Div Cardiol, Bronx, NY USA
关键词
INTRAAORTIC BALLOON PUMP; CARDIOGENIC-SHOCK; TRIAL;
D O I
10.1016/j.ahj.2024.05.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.(Am Heart J 2024;276:115-119.)
引用
收藏
页码:115 / 119
页数:5
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