Impella meeting

1
The AMC MACH program LVAD in the catheterization
laboratory and beyond
STEMI patient in cardiogenic shock or preshock?
Is IABP support enough?
Percutaneous LVAD therapy
Improvement / responder to mechanical support
Destination therapy
Nonresponder
Recovery
Surgical LVAD therapy
Recovery
Bridge to heart transplantation
2
Figure 1 The AMC MACH program LVAD in the
catheterization laboratory and beyond. The
program was initially started with a focus on the
treatment on patients with acute myocardial
infarction presenting with poor hemodynamics.
This simple and unspecified flow chart directs
all AMC departments towards upgrading hemodynamic
support according to the circulatory need of the
patient. Patients who die on maximum support or
do or not show signs of organ preservation are
considered to be nonresponders. In contrast,
responders either recover completely or recover
organ and cerebral function and qualify for
further surgical mechanical support if necessary.
Abbreviations AMC MACH, Academic Medical
Center Mechanical support for Acute Congestive
Heart failure in STEMI patients IABP,
intra-aortic balloon counterpulsation LVAD, left
ventricular assist device STEMI, ST-segment
elevation myocardial infarction.