ICU SAQs · Cardiovascular / shock
Mechanical circulatory support in refractory cardiogenic shock
A CICM SAQ on MCS — the IABP (counterpulsation; IABP-SHOCK II — no routine benefit), the Impella (LV unloading), and VA-ECMO (full bypass; does not unload the LV; ECPELLA).
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Target exams
CICMFFICMEDIC
Prompt
Outline the mechanical circulatory support options for refractory cardiogenic shock, including the mechanism, the evidence, and the complications of each.
Question
Outline the mechanical circulatory support options for refractory cardiogenic shock, including the mechanism, the evidence, and the complications of each.[1]
[1]References2ShowHide
- [1]Thiele H, Zeymer U, Neumann FJ, et al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. New England Journal of Medicine, 2012.PMID 22920912
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.