Mechanical Circulatory Support Devices in Patients with High-Risk Pulmonary Embolism

Author:

Ellauzi Rama1ORCID,Erdem Saliha2ORCID,Salam Mohammad Fahad3,Kumar Ashish4,Aggarwal Vikas5,Koenig Gerald5ORCID,Aronow Herbert D.5ORCID,Basir Mir Babar5

Affiliation:

1. Department of Internal Medicine, Henry Ford Hospital, Detroit, MI 48202, USA

2. Department of Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, MI 48202, USA

3. Department of Internal Medicine, Michigan State University, East Lansing, MI 48502, USA

4. Department of Internal Medicine, Cleveland Clinic Akron General, Akron, OH 44307, USA

5. Department of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI 48202, USA

Abstract

Pulmonary embolism (PE) is a common acute cardiovascular condition. Within this review, we discuss the incidence, pathophysiology, and treatment options for patients with high-risk and massive pulmonary embolisms. In particular, we focus on the role of mechanical circulatory support devices and their possible therapeutic benefits in patients who are unresponsive to standard therapeutic options. Moreover, attention is given to device selection criteria, weaning protocols, and complication mitigation strategies. Finally, we underscore the necessity for more comprehensive studies to corroborate the benefits and safety of MCS devices in PE management.

Publisher

MDPI AG

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