Table 5.
Percutaneous mechanical circulatory support devices
| Mechanism | Insertion/size | Support offered | Complication | Difficulty of insertion | Cost | |
|---|---|---|---|---|---|---|
| IABP | Pneumatic | Femoral artery 7‐9 F | 0.5 L/min | Bleeding | + | + |
| Limb ischemia | ||||||
| Vascular complication | ||||||
| Impella | Axial | Femoral artery | 2.5/3.5/5.0 L/min | Hemolysis | ++ | ++ |
| Bleeding | ||||||
| 2.5‐12 F | Limb ischemia | |||||
| CP‐14 F | ||||||
| 5.0‐22 F | ||||||
| Tandem‐Heart | Centrifugal | 21 F—Left atrium (outflow) | 3.5‐4.5 L/min | Limb ischemia | ++++ | +++ |
| Bleeding | ||||||
| Requires trans‐septal puncture | ||||||
| Vascular complication | ||||||
| Hemolysis | ||||||
| 15‐17 F— Femoral artery (outflow) | ||||||
| ECMO | Centrifugal | 18‐31 F— right atrium (inflow) | >4.5 L/min | Limb ischemia | ++ | +++ |
| Hemolysis | ||||||
| Stroke | ||||||
| 15‐22 F— Femoral artery (outflow) | ||||||
| Bleeding | ||||||
| HeartMate percutaneous heart pump (PHP) | Axial | 14 F | 4‐5 L/min | Limb ischemia | ++ | ++ |
| Bleeding | ||||||
| Vascular complication | ||||||
| Hemolysis |