Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association

Jennifer L. Cook; Monica Colvin; Gary S. Francis; Kathleen L. Grady; Timothy M. Hoffman; Mariell Jessup; Ranjit John; Michael S. Kiernan; Judith E. Mitchell; Francis D. Pagani; Michael Petty; Pasala Ravichandran; Joseph G. Rogers; Marc J. Semigran; J. Matthew Toole

doi:10.1161/CIR.0000000000000507

Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association

Jennifer L. Cook, Monica Colvin, Gary S. Francis, Kathleen L. Grady, Timothy M. Hoffman, Mariell Jessup, Ranjit John, Michael S. Kiernan, Judith E. Mitchell, Francis D. Pagani, Michael Petty, Pasala Ravichandran, Joseph G. Rogers, Marc J. Semigran, J. Matthew Toole

Surgery

Research output: Contribution to journal › Article › peer-review

88 Scopus citations

Abstract

Mechanical circulatory support (MCS) offers a surgical option for advanced heart failure when optimal medical therapy is inadequate. MCS therapy improves prognosis, functional status, and quality of life.1,2 The INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) tracks patient selection and outcomes for all implanted US Food and Drug Administration-approved MCS devices. From June 2006 until December 2014, 15 000 patients received MCS, and 2000 implantations are performed annually. One-year survival with current continuous-flow devices is reported to be 80%, and 2-year survival, 70%.3 In patients awaiting heart transplantation, MCS provides a bridge to transplantation, and for others who are ineligible for heart transplantation, MCS provides permanent support or destination therapy. Indications and absolute and relative contraindications to durable MCS are listed in Table 1.

Original language	English (US)
Pages (from-to)	e1145-e1158
Journal	Circulation
Volume	135
Issue number	25
DOIs	https://doi.org/10.1161/CIR.0000000000000507
State	Published - Jun 20 2017

Keywords

AHA Scientific Statements
ambulatory care
congestive heart failure
emergency care
emergency first responders
ventricular assist device

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1161/CIR.0000000000000507

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Cook, J. L., Colvin, M., Francis, G. S., Grady, K. L., Hoffman, T. M., Jessup, M., John, R., Kiernan, M. S., Mitchell, J. E., Pagani, F. D., Petty, M., Ravichandran, P., Rogers, J. G., Semigran, M. J., & Toole, J. M. (2017). Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association. Circulation, 135(25), e1145-e1158. https://doi.org/10.1161/CIR.0000000000000507

Cook, JL, Colvin, M, Francis, GS, Grady, KL, Hoffman, TM, Jessup, M, John, R, Kiernan, MS, Mitchell, JE, Pagani, FD, Petty, M, Ravichandran, P, Rogers, JG, Semigran, MJ & Toole, JM 2017, 'Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association', Circulation, vol. 135, no. 25, pp. e1145-e1158. https://doi.org/10.1161/CIR.0000000000000507

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title = "Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association",

abstract = "Mechanical circulatory support (MCS) offers a surgical option for advanced heart failure when optimal medical therapy is inadequate. MCS therapy improves prognosis, functional status, and quality of life.1,2 The INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) tracks patient selection and outcomes for all implanted US Food and Drug Administration-approved MCS devices. From June 2006 until December 2014, 15 000 patients received MCS, and 2000 implantations are performed annually. One-year survival with current continuous-flow devices is reported to be 80%, and 2-year survival, 70%.3 In patients awaiting heart transplantation, MCS provides a bridge to transplantation, and for others who are ineligible for heart transplantation, MCS provides permanent support or destination therapy. Indications and absolute and relative contraindications to durable MCS are listed in Table 1.",

keywords = "AHA Scientific Statements, ambulatory care, congestive heart failure, emergency care, emergency first responders, ventricular assist device",

author = "Cook, {Jennifer L.} and Monica Colvin and Francis, {Gary S.} and Grady, {Kathleen L.} and Hoffman, {Timothy M.} and Mariell Jessup and Ranjit John and Kiernan, {Michael S.} and Mitchell, {Judith E.} and Pagani, {Francis D.} and Michael Petty and Pasala Ravichandran and Rogers, {Joseph G.} and Semigran, {Marc J.} and Toole, {J. Matthew}",

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AU - Grady, Kathleen L.

AU - Hoffman, Timothy M.

AU - Jessup, Mariell

AU - John, Ranjit

AU - Kiernan, Michael S.

AU - Mitchell, Judith E.

AU - Pagani, Francis D.

AU - Petty, Michael

AU - Ravichandran, Pasala

AU - Rogers, Joseph G.

AU - Semigran, Marc J.

AU - Toole, J. Matthew

PY - 2017/6/20

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N2 - Mechanical circulatory support (MCS) offers a surgical option for advanced heart failure when optimal medical therapy is inadequate. MCS therapy improves prognosis, functional status, and quality of life.1,2 The INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) tracks patient selection and outcomes for all implanted US Food and Drug Administration-approved MCS devices. From June 2006 until December 2014, 15 000 patients received MCS, and 2000 implantations are performed annually. One-year survival with current continuous-flow devices is reported to be 80%, and 2-year survival, 70%.3 In patients awaiting heart transplantation, MCS provides a bridge to transplantation, and for others who are ineligible for heart transplantation, MCS provides permanent support or destination therapy. Indications and absolute and relative contraindications to durable MCS are listed in Table 1.

AB - Mechanical circulatory support (MCS) offers a surgical option for advanced heart failure when optimal medical therapy is inadequate. MCS therapy improves prognosis, functional status, and quality of life.1,2 The INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) tracks patient selection and outcomes for all implanted US Food and Drug Administration-approved MCS devices. From June 2006 until December 2014, 15 000 patients received MCS, and 2000 implantations are performed annually. One-year survival with current continuous-flow devices is reported to be 80%, and 2-year survival, 70%.3 In patients awaiting heart transplantation, MCS provides a bridge to transplantation, and for others who are ineligible for heart transplantation, MCS provides permanent support or destination therapy. Indications and absolute and relative contraindications to durable MCS are listed in Table 1.

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Recommendations for the Use of Mechanical Circulatory Support: Ambulatory and Community Patient Care: A Scientific Statement from the American Heart Association

Abstract

Keywords

ASJC Scopus subject areas

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