Navin Kapur, M.D., FAHA, FACC, FSCAI, director, Acute Mechanical Circulatory Support Program and executive director of The CardioVascular Center for Research and Innovation (CVCRI), Tufts Medical Center, explains how Tufts determines the level of hemodynamic support a patient needs. They use an algorithm to determine if low levels of support are needed with an intra-aortic balloon pump (IABP), or incrementally high levels with a percutaneous Impella pump, TandemHeart, extracorporeal membrane oxygenation (ECMO), or a surgically implanted ventricular assist device (VAD).
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