April 27, 2026Journal of the American College of Cardiology
2015 SCAI/ACC/HFSA/STS Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care
Why the study?
New percutaneous mechanical circulatory support devices have become commercially available with differing hemodynamic effects and clinical applicability requiring expert consensus guidance.
Population
Patients undergoing high-risk PCI, cardiogenic shock, acute decompensated heart failure, right-sided support, and pediatric populations
Comparison
Various percutaneous mechanical circulatory support devices including intra-aortic balloon pump, axial flow pumps, TandemHeart, and ECMO
Design
Clinical expert consensus statement and review
Authors
Discussion
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Implication
Guides percutaneous MCS use in high-risk PCI, CS, and HF; extends physiologic rationale into standardized clinical and research frameworks.
Key Points
- Modern percutaneous mechanical circulatory support systems provide distinct hemodynamic benefits over the traditional intra-aortic balloon pump in acute care.
- Review of clinical guidelines evaluates indications in cardiogenic shock and acute decompensated heart failure across adult and pediatric populations.
- Supports tailored device deployment during high-risk percutaneous coronary intervention, addressing critical circulatory compromise and procedural safety.
Structured PICO
P
Population
Patients undergoing high-risk percutaneous coronary intervention, presenting with cardiogenic shock, acute decompensated heart failure, requiring right-sided support, and pediatric populations.
I
Intervention
Percutaneous mechanical circulatory support devices (intra-aortic balloon pump, axial flow pumps, left atrial to femoral artery bypass pumps, extracorporeal membrane oxygenation)
This consensus statement provides comprehensive guidance on the selection and use of various percutaneous mechanical circulatory support devices in clinical practice.
Cite This Study
Rihal et al. (2015) conducted a review in Cardiogenic shock, acute decompensated heart failure, high-risk percutaneous coronary intervention. Percutaneous mechanical circulatory support devices was evaluated. This clinical expert consensus statement reviews the physiologic impact, insertion, monitoring, and clinical applicability of percutaneous mechanical circulatory support devices in cardiovascular care.