Team Approach to the Management of Shock Part 3

Benham Tehrani, MD, FSCAI discusses best practices learned from the INOVA-SHOCK experience. Dr. Tehrani is an interventional cardiologist and medical director of the cardiac catheterization laboratories at the Inova Heart & Vascular Institute in Falls Church, Virginia.

Bartley Griffith, MD, discusses how the Impella® heart pump, extracorporeal membrane oxygenation (ECMO), and the combination of the two are being utilized to improve outcomes in patients with cardiogenic shock. He describes a recent surge in the use of ECMO, an increasing use of Impella since its introduction, and a rising “tsunami of interest” in combining ECMO and Impella to avoid left ventricular distention seen with ECMO and “enable ECMO to do what ECMO does best.”

Babar Basir, DO, FACC, FSCAI, director of the acute MCS program at Henry Ford Hospital in Detroit, describes the basic pathophysiology of right ventricular failure (RVF), common invasive measures to diagnose RVF, and use of Impella RP® in the management of RVF.

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