Chart 5.

Temporary mechanical circulatory support devices available in Brazil

Characteristics	Intra-aortic balloon	ECMO	TandemHeart™	Impella 2.5® Impella CP® Impella 5.0®	CentriMag®	EXCOR®
Mechanism	Pneumatic	Centrifugal	Centrifugal	Axial	Centrifugal	Pulsatile
Access	Percutaneous	Percutaneous / thoracotomy	Percutaneous	Percutaneous Percutaneous Dissection	Thoracotomy	Thoracotomy
Cannulation	7-9 F	18-21 F Inflow 15-22 F Outflow	21 F Inflow 15-17 F Outflow	12 F 14 F 21 F	24-34 F	27-48 F Inflow 36-48 F Outflow
Insertion technique	Descending aorta via femoral artery	Percutaneous: - Inflow: right atrium via femoral or jugular vein - Outflow: descending aorta via femoral artery Thoracotomy: - Inflow: right atrium - Outflow: pulmonary artery (left mechanical circulatory assist device) or ascending aorta (biventricular assist device)	Inflow: left atrium via femoral vein and transseptal puncture Outflow: femoral artery	Insertion into left ventricle via femoral artery	ACM-E: - Inflow: left ventricle (via left atrium or apex of left ventricle) - Outflow: ascending aorta ACM-D:- Inflow: right atrium - Outflow: pulmonary artery	ACM-E: - Inflow: left ventricle (apex of left ventricle) - Outflow: ascending aorta ACM-D: - Inflow: right atrium - Outflow: pulmonary artery
Hemodynamic support	0.5 L/min	> 4.5 L/min	4 L/min	2.5 L/min 3.7 L/min 5.0 L/min	Up to 8-10 L/min	Up to 8 L/min

ECMO: Extracorporeal membrane oxygenation