Mechanical circulatory support in the context of coronary artery bypass grafting

Ming Hao Guo, Thin Xuan Vo, Duc Pham, Hadi Daood Toeg*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of reviewWith the continuous innovation in mechanical circulatory support as an option for the management of patients in cardiogenic shock from myocardial infarction, it is important to understand the current evidence and recommendations for the use of these devices for patients who require or underwent coronary artery bypass surgery.Recent findingsThe use of mechanical circulatory support (MCS) in patients with cardiogenic shock who require or underwent coronary artery bypass surgery has not been well studied. Observational studies have shown that the use of intra-aortic balloon pump or percutaneous ventricular assist devices prior to revascularization lead to better survival. Extracorporeal membrane oxygenation (ECMO) still carries significant risk of mortality and complications; the use of additional MCS devices for left ventricular unloading during ECMO improves outcomes.SummaryMCS will continue to play an important role in coronary artery surgery patients. Multidisciplinary Cardiac Shock Team can assist in proper patient selection and device choice, whereas prospective clinical trials are required to provide evidence-based guidance towards the management of these patients.

Original languageEnglish (US)
Pages (from-to)650-655
Number of pages6
JournalCurrent opinion in cardiology
Volume34
Issue number6
DOIs
StatePublished - Nov 1 2019

Keywords

  • coronary artery bypass grafting
  • heart team
  • ventricular assist device

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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