Device | Inflow/outflow/pump | Placement | Ventricle supported | Clinical applications |
TandemHeart | - Pump: Continuous centrifugal
- Inflow: Left atrium
- Outflow: Femoral/axillary artery
- Flow 5 L/minute (percutaneous), 8 L/minute (surgical)
| Percutaneous or surgical cut-down | LV | - Cardiogenic shock (post-AMI, post-cardiotomy)
- Support during high-risk PCI
|
ProtekDuo RVAD | - Double lumen cannula
- Inflow: Right atrium
- Outflow: Pulmonary artery
| Percutaneous (right internal jugular vein) | RV | - RV failure post-LVAD, post-OHT, or post-cardiotomy
- An oxygenator can be spliced in the outflow limb
|
Impella 2.5 Impella CP | - Pump: Microaxial
- Inflow: Left ventricle
- Outflow: Ascending aorta
- Flow up to 2.5 L/minute (Impella 2.5) or 4.3 L/minute (Impella CP)
| Percutaneous femoral artery | LV | - Cardiogenic shock (post-AMI, post-cardiotomy)
- Support during high-risk PCI
|
Impella 5.5 | - Pump: Microaxial
- Inflow: Left ventricle
- Outflow: Ascending aorta
- Flow up to 6 L/minute
| Minimally invasive graft to axillary artery or ascending aorta | LV | - Cardiogenic shock associated with MI, cardiac surgery, or cardiomyopathy not responsive to medical therapy
|
Impella RP | - Pump: Microaxial
- Inflow: Inferior vena cava
- Outflow: Pulmonary artery
- Flow rates up to 4 L/minute
| Percutaneous femoral vein | RV | - RV failure post-LVAD, post-OHT, or post-cardiotomy
|
Impella RP Flex | - Pump: Microaxial
- Inflow: Superior vena cava
- Outflow: Pulmonary artery
- Flow rates: 4 L/minute
| Percutaneous internal jugular vein | RV | - Acute right heart failure up to 14 days in patients with a body surface area ≥1.5 m2 post-LVAD, myocardial infarction, heart transplantation, or open heart surgery
|
CentriMag | - Pump: Extracorporeal centrifugal
- Inflow: Left atrium/LV/right atrium
- Outflow: Ascending aorta/pulmonary artery
- Flow up to 10 L/minute
| Surgical sternotomy | LV, RV, or biventricular | - Bridge to recovery, bridge to decision in cardiogenic shock post-LVAD, post-OHT, post-cardiac surgery
|