Kombinirana perkutana mehanska podpora pri kardiogenem šoku – prikaz dveh bolnikov

Cardiogenic shock occurs when the heart fails to provide sufficient perfusion of the organs. The cause of cardiogenic shock should be treated as soon as possible. Temporary mechanical circulatory support can help gain time to recovery of the heart or provide a bridge to permanent circulatory support or heart transplantation. Percutaneous mechanical support varies from the simplest aortic balloon pump (IABP) to arteriovenous extracorporeal circulation (VA ECMO) and left ventricular pump (Impella CP). The described methods which offer different levels of blood circulation support, can also be combined with each other. At the Clinical Department of Intensive Internal Medicine (KOIIM) of the University Clinical Center Ljubljana, based on important international research and our own clinical experience, we have gradually developed an algorithm for the use of percutaneous circulatory mechanical support. The practical application is demonstrated on the case of two patients.