Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices

Alaide Chieffo; Dariusz Dudek; Christian Hassager; Alain Combes; Mario Gramegna; Sigrun Halvorsen; Kurt Huber; Vijay Kunadian; Jiri Maly; Jacob Eifer Møller; Federico Pappalardo; Giuseppe Tarantini; Guido Tavazzi; Holger Thiele; Christophe Vandenbriele; Nicolas van Mieghem; Pascal Vranckx; Nikos Werner; Susanna Price

doi:10.1093/ehjacc/zuab015

Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices

Alaide Chieffo, Dariusz Dudek, Christian Hassager, Alain Combes, Mario Gramegna, Sigrun Halvorsen, Kurt Huber, Vijay Kunadian, Jiri Maly, Jacob Eifer Møller, Federico Pappalardo, Giuseppe Tarantini, Guido Tavazzi, Holger Thiele, Christophe Vandenbriele, Nicolas van Mieghem, Pascal Vranckx, Nikos Werner, Susanna Price

Department of Cardiology

86 Citations (Scopus)

Abstract

There has been a significant increase in the use of short-term percutaneous ventricular assist devices (pVADs) as acute circulatory support in cardiogenic shock and to provide haemodynamic support during interventional procedures, including high-risk percutaneous coronary interventions. Although frequently considered together, pVADs differ in their haemodynamic effects, management, indications, insertion techniques, and monitoring requirements. This consensus document summarizes the views of an expert panel by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC) and appraises the value of short-term pVAD. It reviews the pathophysiological context and possible indications for pVAD in different clinical settings and provides guidance regarding the management of pVAD based on existing evidence and best current practice.

Original language	English
Journal	European heart journal. Acute cardiovascular care
Volume	10
Issue number	5
Pages (from-to)	570-583
Number of pages	14
ISSN	2048-8726
DOIs	https://doi.org/10.1093/ehjacc/zuab015
Publication status	Published - 30 Jun 2021

Keywords

Consensus
Heart-Assist Devices
Hemodynamics
Humans
Intra-Aortic Balloon Pumping
Percutaneous Coronary Intervention
Shock, Cardiogenic/therapy
ECMO
High-risk percutaneous coronary intervention
Impella
Intraaortic balloon pump
Mechanical circulatory support
Acute coronary syndromes
Intra-aortic balloon pump

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10.1093/ehjacc/zuab015

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Chieffo, A., Dudek, D., Hassager, C., Combes, A., Gramegna, M., Halvorsen, S., Huber, K., Kunadian, V., Maly, J., Møller, J. E., Pappalardo, F., Tarantini, G., Tavazzi, G., Thiele, H., Vandenbriele, C., van Mieghem, N., Vranckx, P., Werner, N., & Price, S. (2021). Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices. European heart journal. Acute cardiovascular care, 10(5), 570-583. https://doi.org/10.1093/ehjacc/zuab015

Chieffo, A, Dudek, D, Hassager, C, Combes, A, Gramegna, M, Halvorsen, S, Huber, K, Kunadian, V, Maly, J, Møller, JE, Pappalardo, F, Tarantini, G, Tavazzi, G, Thiele, H, Vandenbriele, C, van Mieghem, N, Vranckx, P, Werner, N & Price, S 2021, 'Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices', European heart journal. Acute cardiovascular care, vol. 10, no. 5, pp. 570-583. https://doi.org/10.1093/ehjacc/zuab015

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abstract = "There has been a significant increase in the use of short-term percutaneous ventricular assist devices (pVADs) as acute circulatory support in cardiogenic shock and to provide haemodynamic support during interventional procedures, including high-risk percutaneous coronary interventions. Although frequently considered together, pVADs differ in their haemodynamic effects, management, indications, insertion techniques, and monitoring requirements. This consensus document summarizes the views of an expert panel by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC) and appraises the value of short-term pVAD. It reviews the pathophysiological context and possible indications for pVAD in different clinical settings and provides guidance regarding the management of pVAD based on existing evidence and best current practice.",

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AU - Gramegna, Mario

AU - Halvorsen, Sigrun

AU - Huber, Kurt

AU - Kunadian, Vijay

AU - Maly, Jiri

AU - Møller, Jacob Eifer

AU - Pappalardo, Federico

AU - Tarantini, Giuseppe

AU - Tavazzi, Guido

AU - Thiele, Holger

AU - Vandenbriele, Christophe

AU - van Mieghem, Nicolas

AU - Vranckx, Pascal

AU - Werner, Nikos

AU - Price, Susanna

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Y1 - 2021/6/30

N2 - There has been a significant increase in the use of short-term percutaneous ventricular assist devices (pVADs) as acute circulatory support in cardiogenic shock and to provide haemodynamic support during interventional procedures, including high-risk percutaneous coronary interventions. Although frequently considered together, pVADs differ in their haemodynamic effects, management, indications, insertion techniques, and monitoring requirements. This consensus document summarizes the views of an expert panel by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC) and appraises the value of short-term pVAD. It reviews the pathophysiological context and possible indications for pVAD in different clinical settings and provides guidance regarding the management of pVAD based on existing evidence and best current practice.

AB - There has been a significant increase in the use of short-term percutaneous ventricular assist devices (pVADs) as acute circulatory support in cardiogenic shock and to provide haemodynamic support during interventional procedures, including high-risk percutaneous coronary interventions. Although frequently considered together, pVADs differ in their haemodynamic effects, management, indications, insertion techniques, and monitoring requirements. This consensus document summarizes the views of an expert panel by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC) and appraises the value of short-term pVAD. It reviews the pathophysiological context and possible indications for pVAD in different clinical settings and provides guidance regarding the management of pVAD based on existing evidence and best current practice.

KW - Consensus

KW - Heart-Assist Devices

KW - Hemodynamics

KW - Humans

KW - Intra-Aortic Balloon Pumping

KW - Percutaneous Coronary Intervention

KW - Shock, Cardiogenic/therapy

KW - ECMO

KW - High-risk percutaneous coronary intervention

KW - Impella

KW - Intraaortic balloon pump

KW - Mechanical circulatory support

KW - Acute coronary syndromes

KW - Intra-aortic balloon pump

UR - https://www.scopus.com/pages/publications/85112583196

U2 - 10.1093/ehjacc/zuab015

DO - 10.1093/ehjacc/zuab015

M3 - Journal article

C2 - 34057173

SN - 2048-8726

VL - 10

SP - 570

EP - 583

JO - European heart journal. Acute cardiovascular care

JF - European heart journal. Acute cardiovascular care

IS - 5

ER -

Joint EAPCI/ACVC expert consensus document on percutaneous ventricular assist devices

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Keywords

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