Table 1.
Common options for nondurable percutaneous MCS.
| PERCUTANEOUS VAD | + CO (LPM) | MOTOR HOUSING/SHEATH | EASE OF INSERTION | COMPLICATIONS | |
|---|---|---|---|---|---|
| Intra-aortic balloon pump (IABP, pulsatile) | 0.5 | 7–8F | ++++ | +Bleeding +Limb ischemia |
|
| Impella (axial, continuous flow) | 2.5 | 2.5 | 12F | +++ | ++Bleeding ++Limb ischemia ++++Hemolysis |
| CP | 4.0 | 14F | |||
| 5.0 | 5.0 | 21F | Requires cutdown/graft | ||
| Tandem Heart (centrifugal, continuous flow) | 3.5–4.5 | 21F (venous) 15/17F (arterial) |
+ | +++Bleeding +++Limb ischemia ++Hemolysis |
|
| ECMO (centrifugal, continuous flow) | ≥4.5 up to 8 LPM | 18–31F (venous) 15–23F (arterial) |
++ | ++++Bleeding +++Limb ischemia +++Hemolysis |
|