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Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock.

Publication ,  Journal Article
Damluji, AA; Tehrani, B; Sinha, SS; Samsky, MD; Henry, TD; Thiele, H; West, NEJ; Senatore, FF; Truesdell, AG; Dangas, GD; Smilowitz, NR ...
Published in: JACC Cardiovasc Interv
October 24, 2022

In the United States, the frequency of using percutaneous mechanical circulatory support devices for acute myocardial infarction complicated by cardiogenic shock is increasing. These devices require large-bore vascular access to provide left, right, or biventricular cardiac support, frequently under urgent/emergent circumstances. Significant technical and logistical variability exists in device insertion, care, and removal in the cardiac catheterization laboratory and in the cardiac intensive care unit. This variability in practice may contribute to adverse outcomes observed in centers that receive patients with cardiogenic shock, who are at higher risk for circulatory insufficiency, venous stasis, bleeding, and arterial hypoperfusion. In this position statement, we aim to: 1) describe the public health impact of bleeding and vascular complications in cardiogenic shock; 2) highlight knowledge gaps for vascular safety and provide a roadmap for a regulatory perspective necessary for advancing the field; 3) propose a minimum core set of process elements, or "vascular safety bundle"; and 4) develop a possible study design for a pragmatic trial platform to evaluate which structured approach to vascular access drives most benefit and prevents vascular and bleeding complications in practice.

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Published In

JACC Cardiovasc Interv

DOI

EISSN

1876-7605

Publication Date

October 24, 2022

Volume

15

Issue

20

Start / End Page

2003 / 2019

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Shock, Cardiogenic
  • Myocardial Infarction
  • Humans
  • Hemorrhage
  • Heart-Assist Devices
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Damluji, A. A., Tehrani, B., Sinha, S. S., Samsky, M. D., Henry, T. D., Thiele, H., … Gilchrist, I. C. (2022). Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock. JACC Cardiovasc Interv, 15(20), 2003–2019. https://doi.org/10.1016/j.jcin.2022.08.041
Damluji, Abdulla A., Behnam Tehrani, Shashank S. Sinha, Marc D. Samsky, Timothy D. Henry, Holger Thiele, Nick E. J. West, et al. “Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock.JACC Cardiovasc Interv 15, no. 20 (October 24, 2022): 2003–19. https://doi.org/10.1016/j.jcin.2022.08.041.
Damluji AA, Tehrani B, Sinha SS, Samsky MD, Henry TD, Thiele H, et al. Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock. JACC Cardiovasc Interv. 2022 Oct 24;15(20):2003–19.
Damluji, Abdulla A., et al. “Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock.JACC Cardiovasc Interv, vol. 15, no. 20, Oct. 2022, pp. 2003–19. Pubmed, doi:10.1016/j.jcin.2022.08.041.
Damluji AA, Tehrani B, Sinha SS, Samsky MD, Henry TD, Thiele H, West NEJ, Senatore FF, Truesdell AG, Dangas GD, Smilowitz NR, Amin AP, deVore AD, Moazami N, Cigarroa JE, Rao SV, Krucoff MW, Morrow DA, Gilchrist IC. Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock. JACC Cardiovasc Interv. 2022 Oct 24;15(20):2003–2019.
Journal cover image

Published In

JACC Cardiovasc Interv

DOI

EISSN

1876-7605

Publication Date

October 24, 2022

Volume

15

Issue

20

Start / End Page

2003 / 2019

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Shock, Cardiogenic
  • Myocardial Infarction
  • Humans
  • Hemorrhage
  • Heart-Assist Devices
  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology