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Contemporary Reviews in Critical Care Medicine |

Mechanical Circulatory Support Devices in the ICULeft Ventricular Assist Devices in the ICU

Keyur B. Shah, MD; Melissa C. Smallfield, MD; Daniel G. Tang, MD; Rajiv Malhotra, MD; Richard H. Cooke, MD; Vigneshwar Kasirajan, MD, FCCP
Author and Funding Information

From the Division of Cardiology (Drs Shah, Smallfield, and Cooke), the Division of Cardiothoracic Surgery (Drs Tang and Kasirajan), and the Division of Pulmonary and Critical Care Medicine (Dr Malhotra), Virginia Commonwealth University, Richmond, VA.

CORRESPONDENCE TO: Keyur B. Shah, MD, Heart Failure/Transplantation, Division of Cardiology, Virginia Commonwealth University, MCV Campus, PO Box 980204, Richmond, VA 23298-0204; e-mail: kshah@mcvh-vcu.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(3):848-857. doi:10.1378/chest.13-2645
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The medical community has used implantable mechanical circulatory support devices at increasing rates for patients dying from heart failure and cardiogenic shock. Newer-generation devices offer a more durable and compact option when compared with bulky early-generation devices. This article is a succinct introduction and overview of the hemodynamic principles and complications after device implantation for ICU clinicians. We review the concepts of device physiology, clinical pearls for perioperative management, and common medical complications after device implantation.

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