Imaging in acute percutaneous mechanical circulatory support in adults: a clinical consensus statement of the Association for Acute CardioVascular Care (ACVC) of the ESC, the European Association of Cardiovascular Imaging (EACVI) of the ESC and the European branch of the Extracorporeal Life Support Organization (EuroELSO)

Author:

Tavazzi Guido12ORCID,Price Susanna34ORCID,Beitnes Jan Otto5,Bleakley Caroline6ORCID,Balik Martin7ORCID,Lochy Stijn8,Moller Jacob Eifer9,Guarracino Fabio10,Donal Erwan11ORCID,Donker Dirk W1213,Belohlavek Jan14ORCID,Hassager Christian15

Affiliation:

1. Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Viale Brambilla, 74, 27100   Italy

2. Intensive Care, Fondazione Policlinico San Matteo Hospital IRCCS , Viale Camillo Golgi, 19 Pavia , Italy

3. Cardiology and Critical Care, Royal Brompton Hospital , Sydney St, London SW3 6NP , UK

4. National Heart and Lung Institute, Imperial College , Guy Scadding Building, Dovehouse St, London SW3 6LY , UK

5. Department of Cardiology, Oslo University Hospital Rikshospitalet , Sognsvannsveien 20, 0372 Oslo , Norway

6. Royal Free Hospital   Pond St, London NW3 2QG , UK

7. Department of Anesthesiology, Resuscitation and Intensive Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital , Opletalova 38, 110 00 Staré Město, Prague , Czech Republic

8. Universitair Ziekenhuis Brussel, Department of Cardiology and Intensive Care , Av. du Laerbeek 101, 1090 Jette Brussel , Belgium

9. Department of Cardiology, Odense University Hospital and Copenhagen University Hospital Rigshospitalet , Inge Lehmanns Vej 7, 2100 Copenhagen , Denmark

10. Department of Anaesthesia and Critical Care Medicine, Azienda Ospedaliero Universitaria Pisana , Via Paradisa, 2 · 050 992111, Pisa , Italy

11. Cardiology and CIC, IT1414, CHU de Rennes LTSI, Université Rennes-1, INSERM 1099 , 2 Av. du Professeur Léon Bernard, 35043, Rennes , France

12. Intensive Care Department, Utrecht University Medical Centre , Heidelberglaan 100, 3584 CX, Utrecht , The Netherlands

13. CRPH Cardiovascular and Respiratory Physiology Group, TechMed Centre, Faculty of Science and Technology, University of Twente , Technohal, Hallenweg 5, 7522 NH Enschede , The Netherlands

14. Second Department of Medicine, First Faculty of Medicine, Charles University and General University Hospital , Opletalova 38, 110 00 Staré Město Prague , Czech Republic

15. Cardiac Intensive Care Unit, Heart Center, Copenhagen University Hospital, Rigshospitalet and Clinical Institute Copenhagen University , Blegdamsvej 9, 2100 Copenhagen , Denmark

Abstract

Abstract The use of temporary mechanical circulatory support (tMCS) in cardiogenic shock patients has increased during the last decades with most management strategies relying on observational studies and expert opinion, including hemodynamic monitoring, device selection, and timing of support institution/duration. In this context, imaging has a pivotal role throughout the patient pathway, from identification to initiation, monitoring, and weaning. This manuscript summarizes the consensus of an expert panel from the European Society of Cardiology Association for Acute CardioVascular Care, the European Association of CardioVascular Imaging, and the European Extracorporeal Life Support Organization, providing the rationale for and practical guidance of imaging to tMCS based on existing evidence and consensus on best current practice.

Publisher

Oxford University Press (OUP)

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