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Heart failure (HF) remains a leading cause of morbidity and mortality worldwide, with acute HF (AHF) or cardiogenic shock requiring rapid intervention to prevent fatal outcomes. Advances in temporary mechanical circulatory support (tMCS) devices have revolutionized the management of advanced HF, offering temporary, durable, and individualized support options. This manuscript reviews the pathophysiology and clinical presentation of AHF, the role of multi-disciplinary Heart Teams, and the growing importance of structured care networks in managing complex cases of HF. We explore the strategic deployment of tMCS in acute settings, device options, implications for patient outcomes, and current challenges in the field. This manuscript emphasizes the importance of team-based approaches and underscores the potential of tMCS devices in stabilizing patient haemodynamics, bridging to recovery or definitive therapy, and improving survival in patients facing high-risk HF.
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http://dx.doi.org/10.1093/eurheartjsupp/suaf002 | DOI Listing |
Cardiol Rev
September 2025
Departments of Cardiology and Medicine, Westchester Medical Center and New York Medical College, Valhalla, NY.
Patients with atrial fibrillation, venous thrombosis, and mechanical heart valve (MHV) regularly undergo procedures on a daily basis, for which they require bridging anticoagulation, but this poses significant challenges. Bridging anticoagulation involves temporary interruption of long-term anticoagulation therapy for procedures and continued overlap with short-acting anticoagulants during perioperative period. Heparin-based agents are often used for overlapping in perioperative period to reduce the risk of thromboembolism, but the evidence for benefit particularly in patients with MHV remains limited.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Department of Intensive Care Unit, The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan City, Guangdong Province, China.
Rationale: Mental and behavioral abnormalities are difficult neurological conditions, and the site of the lesion may involve the basal ganglia. Its etiology is varied and requires a detailed differential diagnosis.
Patient Concerns: An 81-year-old woman had a history of "cerebral infarction" for 5 years.
ESC Heart Fail
September 2025
Division of Heart Failure and Transplant, Mayo Clinic in Florida, Jacksonville, Florida, USA.
Background: Patients with end-stage heart failure and chronic kidney disease requiring dual-organ transplantation (DOT) face significant challenges in utilizing durable mechanical circulatory support due to the risks associated with renal replacement therapies (RRTs) and multi-organ failure. Given the limited options available for long-term support in this patient population, there remains a critical need for alternative strategies to optimize end-organ function and bridge patients safely to transplant. With prolonged waitlist times for DOT, we present our experience with the Impella 5.
View Article and Find Full Text PDFOrthod Craniofac Res
September 2025
Department of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
Hyperdivergent skeletal Class II malocclusion is largely genetically determined and poses significant challenges in orthodontic treatment, particularly due to compromised facial aesthetics, reduced bite force and airway narrowing. Traditionally, orthognathic surgery has been the standard treatment for correcting such skeletal discrepancies. However, the advent of temporary skeletal anchorage devices (TSADs) has expanded the possibilities for orthodontic camouflage by allowing effective vertical control.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Resorbable implants are increasingly used in orbital wall fracture reconstruction because of their ability to provide temporary structural support without the long-term complications associated with permanent materials. However, the long-term effects of implant resorption on orbital morphology are unclear. This retrospective study evaluated volumetric changes over time following reconstruction using 2 types of resorbable plates: uncalcined hydroxyapatite/poly-L-lactic acid (u-HA/PLLA) and poly-L-lactic acid/polyglycolic acid (PLLA/PGA).
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