Coda Change Mechanical Circulatory support in the cardiac cath lab
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Feb 17, 2024 Joyful reflections on Australia's first carbon-neutral medical conference kick off the discussion. The role of interventional cardiologists in mechanical circulatory support is examined, showcasing a gripping case of cardiogenic shock due to Takotsubo cardiomyopathy. Following this, severe cardiac scenarios like mitral regurgitation highlight the lifesaving use of devices such as balloon pumps and impellers. The importance of timely decisions in critical cases underscores the rapid advancements in cardiac care.
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Balloon Pump Success in Takotsubo
- A woman with Takotsubo cardiomyopathy and severe mitral regurgitation was managed successfully with a balloon pump at a regional hospital.
- This avoided transfer and allowed time for recovery while stabilizing the patient hemodynamically.
Balloon Pump 'Super Responders' Exist
- Balloon pumps fell out of favor after a major trial showed no mortality benefit in severe cardiogenic shock.
- However, a significant subset of patients are "super responders" who greatly benefit with increased cardiac output.
When to Use Balloon Pumps
- Use balloon pumps to improve coronary perfusion during transfers to tertiary centers or to reduce afterload in selected cardiogenic shock cases.
- Employ balloon pumps when other mechanical supports are unavailable, since they require smaller access and are safer in some cases.