Mechanical Circulatory Support for Cardiogenic Shock: Past, Present, and Future

Concurrent Session Moderator(s)

• 

  Steven Hollenberg, MD, FACC, FAHA

  Professor of Medicine
  Hackensack Meridian Health Hackensack University Medical Center
  West New York

  No relevant financial relationship(s) to disclose

Cardiogenic shock after acute myocardial infarction requires immediate resuscitative therapy to prevent irreversible organ damage. Mortality, although decreased significantly, remains high. Intensivists more frequently encounter patients with cardiogenic shock. The key to a good outcome is an organized approach, with rapid recognition and prompt initiation of therapy to improve hemodynamics, tissue perfusion, ventilatory support, and reversal of the underlying cause. The concept of establishing ventricular support before revascularization stresses the notion that unloading the left ventricle is key to its recovery. Different percutaneous devices for mechanical support have different effects on left ventricular afterload and myocardial oxygen demand. An understanding of the advantages and disadvantages of these devices helps the clinician select the right device in the right setting.

Presentations:

• Intra-Aortic Balloon Pump
  

  Concurrent Session Faculty: Sammy Zakaria, MD, MPH, FCCM – Johns Hopkins Bayview Medical Center
• Percutaneous Axial Flow Pump
  

  Concurrent Session Faculty: Ann Gage, MD – Centennial Heart
• Extracorporeal Membrane Oxygenation: Mechanical Circulatory Support for Cardiogenic Shock: Past, Present and Future
  

  Concurrent Session Faculty: Saraschandra Vallabhajosyula, MD, MSc, – Wake Forest Baptist Medical Center