Mechanical circulatory support (MCS) has become a cornerstone of therapy for patients with compromised cardiac output. Patients with refractory cardiac arrest and cardiogenic shock after return of spontaneous circulation (ROSC) have been a particular target for mechanical support due to the high mortality associated with these conditions. The ability to augment or fully replace native cardiac function with a reliably deployable percutaneous device has allowed hemodynamic stabilization of these very unstable patients. However, this significant benefit must be weighed against the risk of complications that may lead to significant morbidity or mortality.
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4Patient selection, risk mitigating insertion techniques, and post-stabilization care remain critical.
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Published online: April 24, 2020
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