1. Percutaneous Mechanical Circulatory Support Devices

3. 57-year-old man presents with an anterior STEMI
PCI to LAD undertaken -- unable to reopen vessel despite prolonged attempt
Persisting ST elevation at the end of case
BP 110/60 mm Hg
Transferred to CCU at 6 pm
Clinical deterioration by the following morning
Oliguric
Diaphoretic
Cool peripheries
Lactate 4
Persisting ST elevation
BP 120/80 mm Hg
ECHO -- poor EF -- 10%
Transferred to cath lab for hemodynamic support in view of (incipient) cardiogenic shock

6. Stabilization After IAPM Implantation

7. Pulmonary Artery Pressure

8. OUTCOME

9. Case Key Points

10. Hemodynamic Effects of IABP

11. Options for Mechanical Cardiopulmonary Support

12. 2013 ACCF/AHA Guideline for the Management of STEMI

13. Cost-Effectiveness

14. Possible Indications for Mechanical Circulatory Support Devices

15. Balancing the Issue of Cost Selecting the Right Device for the Right Patient

16. Hemodynamic Support for the Cardiac Arrest Survivor

17. Impella®

18. Vasopressors vs Support Devices

19. ECMO

20. TandemHeart™

21. MCS for High-Risk PCI

22. Summary

23. Abbreviations

24. Abbreviations (cont)

25. Abbreviations (cont)

26. References

27. References (cont)