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Various temporary support circuits and support effects

Descriptive term	Pump inflow location(s)	Pump outflow location(s)	Pump device options	Oxygenation possible?	Aortic flow	RV support	LV support	LV load	RV load
VV ECMO	RA	RV	Centrimag, CardioHelp, or TandemHeart	Yes	Not applicable	No	No	↔	↑
RVAD	RA	PA	Centrimag, CardioHelp, or TandemHeart	Yes	Not applicable	Yes	No	↔	↓
pRVAD	IVC	PA	Impella RP	No	Not applicable	Yes	No	↔	↓
VA ECMO	RA	IF	Centrimag, CardioHelp, or TandemHeart	Yes	Retrograde	Yes	No	↑	↓
VA ECMO central cannulation	RA	Ascending aorta	Centrimag, CardioHelp, or TandemHeart	Yes	Antegrade	Yes	No	↑	↓
pLVAD	LV	AO	Impella 2.5, Impella CP, or Impella 5.0	No	Antegrade	No	Yes	↓	↑
Combination support
VAV ECMO	IVC	SVC and IF	Centrimag, CardioHelp, or TandemHeart	Yes	Retrograde	Yes	Yes	↓	↓
BiPella	IVC	PA	Impella RP	No	Antegrade	Yes	Yes	↓	↓
BiPella	LV	AO	Impella 2.5, Impella CP, or Impella 5.0	No	Antegrade	Yes	Yes	↓	↓
ECPella	RA	IF	Centrimag, CardioHelp, or TandemHeart	Yes	Both antegrade and retrograde
ECPella	LV	AO	Impella 2.5, Impella CP, or Impella 5.0	Yes	Both antegrade and retrograde

RV: right ventricle; LV: left ventricle; ECMO: extracorporeal membrane oxygenation; RA: right atrium; RVAD: right ventricular assist device; PA: pulmonary artery; pRVAD: percutaneous right ventricular assist device; IVC: inferior vena cava; IF: iliofemoral; pLVAD: percutaneous left ventricular assist device; AO: aorta; SVC: superior vena cava.

Graphic 122871 Version 2.0