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
MCS, mechanical circulatory support.