Selecting a Treatment Regimen
Table 2. Devices Available for Short-Term MCS
Device
Manufacturer
Mechanism
Position
Duration
IABP
Multiple
Counterpulsation
NA
Days
ECMO
Multiple
CPB
NA
Days-weeks
BVS5000,
AB5000
ABIOMED
Pulsatile
R, L, or bilateral
Weeks
Thoratec
pVAD
Thoratec
Pulsatile
R, L, or bilateral
Weeks
CentriMag
Levitronix
Centrifugal
R, L, or bilateral
Weeks
TandemHeart
CardiacAssist
Centrifugal
pMCS
Days
Impella
ABIOMED
Axial flow
pMCS
Days
Table 3. Devices Approved by the FDA for Long-Term MCS
Device
Manufacturer Mechanism
Position
Indications
Portable
Thoratec
pVAD
Thoratec
Pulsatile
R, L, or
bilateral
BTT, BTR
Yes
Novacor
World Heart
Pulsatile
L
BTT, DT
Yes
Heartmate
XVE
Thoratec
Pulsatile
L
BTT, DT
Yes
Heartmate II
Thoratec
Axial flow
L
BTT, DT
Yes
Abiomed
TAH
ABIOMED
Pulsatile
Bilateral
BTT
Yes/No
CardioWest
TAH
Syncardia
Pulsatile
Bilateral
BTT
No
Berlin EXOR Berlin
Pediatric
Pulsatile/
pneumatic
R, L, or
bilateral
BTT
No
DeBakey
Child
Continuous
L
BTT, BTR
No
MicroMed