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2015 Scai/Acc/Hfsa/Sts Clinical Expert Consensus Statement On The Use Of Percutaneous Mechanical Circulatory Support Devices In Cardiovascular Care: Endorsed By The American Heart Assocation, The Cardiological Society Of India, And Sociedad Latino Americana De Cardiologia Intervencion; Affirmation Of Value By The Canadian Association Of Interventional Cardiology-Association Canadienne De Cardiologie D'Intervention., Charanjit S Rihal, Srihari S Naidu, Michael M Givertz, Wilson Y Szeto, James A. Burke Md, Phd, Navin K Kapur, Morton Kern, Kirk N Garratt, James A Goldstein, Vivian Dimas, Thomas Tu

Cardiology Division

Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability. This document reviews the physiologic impact on the circulation of these devices and their use in specific clinical situations. These situations include patients undergoing high-risk percutaneous coronary intervention, those …