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


Journal

American heart journal
ISSN: 1097-6744
Titre abrégé: Am Heart J
Pays: United States
ID NLM: 0370465

Informations de publication

Date de publication:
Oct 2024
Historique:
received: 29 05 2024
accepted: 31 05 2024
medline: 26 8 2024
pubmed: 26 8 2024
entrez: 25 8 2024
Statut: ppublish

Résumé

Despite the growing use of temporary mechanical circulatory support (tMCS), little data exists to inform management and weaning of these devices. 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. 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. Our findings highlight the need for consensus around practices associated with improved outcomes in patients treated with tMCS.

Identifiants

pubmed: 39182940
pii: S0002-8703(24)00142-X
doi: 10.1016/j.ahj.2024.05.018
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

115-119

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Christopher Barnett receives research funding from Merck and is a consultant for Abiomed, Zoll, and Abbott. Michael Kontos is a consultant for Beckman Coulter. Barbara Pisani has self-funded personal investments in Abbott, Amgen, GlaxoSmithKline, Bristol Myers Squibb. Andrea Thompson is supported by NIH-NHLBI [K08HL163328]. The remaining authors have no conflicts of interests to declare.

Auteurs

Amrita Balgobind (A)

Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.

Matthew Pierce (M)

Northwell, New Hyde Park, Cardiovascular Institute, NY.

Carlos Alviar (C)

Department of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, NY.

Christopher Barnett (C)

Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA.

Gregory Barsness (G)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.

Sunit-Preet Chaudhry (SP)

Saint Vincent Heart Center, Indianapolis, IN.

Meshe Chonde (M)

Department of Cardiology, Department of Cardiac Surgery, Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA.

Howard Cooper (H)

Westchester Medical Center and New York Medical College, Valhalla.

Lori Daniels (L)

Division of Cardiovascular Medicine, Department of Medicine, University of California San Diego, La Jolla.

Umesh Gidwani (U)

Department of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY.

Christopher Fordyce (C)

University of British Columbia, University of British Columbia Centre for Cardiovascular Innovation, Cardiovascular Health Program, University of British Columbia Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC.

Michael Goldfarb (M)

Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

Jason N Katz (JN)

Department of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, NY.

Michael Kontos (M)

Division of Cardiology, Virginia Commonwealth University, Richmond, VA.

Younghoon Kwon (Y)

Division of Cardiology University of Washington Seattle, WA.

Evan Liebner (E)

Department of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, NY.

Shuangbo Liu (S)

Max Rady College of Medicine, St. Boniface Hospital, Winnipeg, Manitoba, Canada.

P Elliott Miller (PE)

Department of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.

L K Newby (LK)

Division of Cardiology, Duke University School of Medicine, Durham, NC.

Connor O'Brien (C)

Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA.

Alexander Papolos (A)

Departments of Cardiology and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DC.

Barbara Pisani (B)

Atrium Wake Forest Baptist, Winston-Salem, NC.

Brian Potter (B)

Centre Hospitalier de l'Université de Montréal Research Center and Cardiovascular Center, Quebec, Canada.

Alastair Proudfoot (A)

Perioperative Medicine Department, Barts Heart Centre, St Bartholomew's Hospital, London.

Robert O Roswell (RO)

Northwell, New Hyde Park, Cardiovascular Institute, NY; Lenox Hospital, Northwell Health, New York, New York.

Shashank S Sinha (SS)

Inova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA.

Timothy D Smith (TD)

The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH.

Andrea D Thompson (AD)

Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI.

Sean van Diepen (S)

Division of Cardiology, Department of Critical Care Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Sammy Zakaria (S)

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

David Morrow (D)

Levine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Miguel Alvarez Villela (MA)

Northwell, New Hyde Park, Cardiovascular Institute, NY; Lenox Hospital, Northwell Health, New York, New York; Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY. Electronic address: miguel.alvarez.vil@gmail.com.

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