| Table 16: Features Associated with the Need for Short-term vs. Long-Term MCS | ||
|---|---|---|
| Feature | Temporary Assist | Long Term Assist |
| Time Period | Emergent (< 24-72 hours) insertion Support time in days | Urgent or elective insertion Support time in weeks to years |
| Care Setting | Intensive Cardiac Care setting with goal to recovery, transplant, longer term device or palliative care | Post Cardiovascular surgery unit, with goal toward hospital discharge |
| Infection Control | High risk | Lower risk |
| Special issues | Frequently ventilated, invasive hemodynamic monitoring and paralysis to deter device migration | Early intensive care, late non-invasive monitoring |
| Type of Support | May be one or both ventricles, partial or full support. Maximum support usually less than permanent devices | Usually only left ventricular support, able to provide larger amount of support |