The contemporary utilization of TandemHeart® in Severe Cardiogenic Shock and Acute Decompensated Heart Failure

Main Article Content

Sidra R. Shah, DO Syed H. Haq, DO Hafez Golzarian, DO William Cole, MD Amanda Laird, CNP Sandeep M. Patel, MD

Abstract

Severe cardiogenic shock in the setting of acute decompensated heart failure, refractory to aggressive pharmacologic intervention is synonymous with high mortality. Recent innovative advancements in mechanical circulatory system [MCS] has provided some semblance of hope, with use exponentially increasing due to the favorable outcomes. These devices serve as bridge towards definitive therapy by providing hemodynamic stability. The TandemHeart® (LivaNova Inc) has gained increased notoriety due to the increased degree of support provided in in left ventricular failure. A nationwide shock database analysis found increased mortality benefits of TandemHeart® over Impella®. However, there continues to remain scarce data and limited clinical trials demonstrating the efficacy of TandemHeart® over other devices. We present three assorted cases of cardiogenic shock refractory to Impella® successfully managed with the TandemHeart® system. We discuss the indication, utility, and the potential benefits provided by the TandemHeart® system including ability to add oxygenator in circuit, ease to convert to VA-ECMO, use in prosthetic aortic valve, and capable of offloading left atrium and left ventricle.

Keywords: Cardiogenic Shock, TandemHeart®, Impella®, Intra-aortic balloon pump, ECMO

Article Details

How to Cite
SHAH, Sidra R. et al. The contemporary utilization of TandemHeart® in Severe Cardiogenic Shock and Acute Decompensated Heart Failure. Medical Research Archives, [S.l.], v. 11, n. 5, may 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3776>. Date accessed: 29 mar. 2024. doi: https://doi.org/10.18103/mra.v11i5.3776.
Section
Review Articles

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