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. 2024 Apr 30;13(9):2642. doi: 10.3390/jcm13092642

Table 1.

Different percutaneous mechanical circulatory support devices and their characteristics.

V-A ECMO Impella® 2.5 L Impella® 5.5 L Impella® CP iVAC® 2.0 L
Catheter size (F) - 9 9 9 11
Cannula size (F) 14–19 arterial
17–21 venous
12 19 14 17
Maximum flow (L/min) 7.0 2.5 6.0 4.3 2.0
Pump mechanism Centrifugal flow—continuous pump Axial flow—continuous pump Axial flow—continuous pump Axial flow—continuous pump Pulsatile flow—depends on HR
Blood is aspirated from Right Atrium Left Ventricle Left Ventricle Left Ventricle Left Ventricle
Blood is ejected in Aorta Ascending Aorta Ascending Aorta Ascending Aorta Aorta
Access site Femoral Vein Femoral Artery Femoral Artery Axillary Artery Femoral Artery Femoral Artery
Implantation Percutaneous Percutaneous Percutaneous Percutaneous Percutaneous
LV support + + + +
Indications
  • Advanced HF

  • Cardiogenic shock

  • Postcardiotomy cardiogenic shock

  • High-risk PCI

  • Cardiogenic shock

  • Postcardiotomy cardiogenic shock

  • Advanced HF

  • Cardiogenic shock

  • Postcardiotomy cardiogenic shock

  • High-risk PCI

  • High-risk PCI

  • Acute myocardial infarction

  • Cardiogenic shock

  • Left ventricular failure with an EF < 30%, and/or CI < 2.5 L/min/m2

Maximal duration of application Up to 4 days Up to 14 days Up to 4 days Up to 24 h
Cost + (+) +++ ++++ ++++ ++