The role of temporary mechanical circulatory support in heart failure
Heart failure (HF) remains a leading cause of morbidity and mortality worldwide, with acute HF (AHF) or cardiogenic shock requiring rapid intervention to prevent fatal outcomes. Advances in temporary mechanical circulatory support (tMCS) devices have revolutionized the management of advanced HF, offering temporary, durable, and individualized support options. This manuscript reviews the pathophysiology and clinical presentation of AHF, the role of multi-disciplinary Heart Teams, and the growing importance of structured care networks in managing complex cases of HF. We explore the strategic deployment of tMCS in acute settings, device options, implications for patient outcomes, and current challenges in the field. This manuscript emphasizes the importance of team-based approaches and underscores the potential of tMCS devices in stabilizing patient haemodynamics, bridging to recovery or definitive therapy, and improving survival in patients facing high-risk HF.
Authors
- Assad Haneya
- Christophe Vandenbriele (ORCID: https://orcid.org/0000-0001-5151-6400)
- Francesco Bruno (ORCID: https://orcid.org/0000-0003-0019-0273)
- Daniel Zimpfer (ORCID: https://orcid.org/0000-0002-2185-4895)
- A Nap (ORCID: https://orcid.org/0000-0001-9184-3561)
- Federico Pappalardo (ORCID: https://orcid.org/0000-0001-9129-833X)
- Evgenij Potapov
- Letizia Bertoldi (ORCID: https://orcid.org/0000-0003-2062-3507)
- Felix Schönrath
Institutions
- Humanitas University (IT)
- Università degli Studi di Enna Kore (IT)
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- Harefield Hospital (GB)
- Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT)
- Krankenhaus der Barmherzigen Brüder Trier (DE)
- Onze Lieve Vrouwziekenhuis Hospital (BE)
- Vivantes Klinikum (DE)
- Policlinico Universitario di Catania (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Imperial College London (GB)
- Medical University of Vienna (AT)
- Charité - Universitätsmedizin Berlin (DE)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Publication Details
- Journal
- European Heart Journal Supplements
- Published
- 2025-02-04
- DOI
- https://doi.org/10.1093/eurheartjsupp/suaf002
- Citations
- 2
- Primary Topic
- Mechanical Circulatory Support Devices
- Type
- article
- Field-Weighted Citation Impact
- 1.35
Funders
- Abiomed