Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock

Abdulla A. Damluji, Behnam Tehrani, Shashank S. Sinha, Marc D. Samsky, Timothy D. Henry, Holger Thiele, Nick E.J. West, Fortunato F. Senatore, Alexander G. Truesdell, George D. Dangas, Nathaniel R. Smilowitz, Amit P. Amin, Adam D. deVore, Nader Moazami, Joaquin E. Cigarroa, Sunil V. Rao, Mitchell W. Krucoff, David A. Morrow, Ian C. Gilchrist

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


In the United States, the frequency of using percutaneous mechanical circulatory support devices for acute myocardial infarction complicated by cardiogenic shock is increasing. These devices require large-bore vascular access to provide left, right, or biventricular cardiac support, frequently under urgent/emergent circumstances. Significant technical and logistical variability exists in device insertion, care, and removal in the cardiac catheterization laboratory and in the cardiac intensive care unit. This variability in practice may contribute to adverse outcomes observed in centers that receive patients with cardiogenic shock, who are at higher risk for circulatory insufficiency, venous stasis, bleeding, and arterial hypoperfusion. In this position statement, we aim to: 1) describe the public health impact of bleeding and vascular complications in cardiogenic shock; 2) highlight knowledge gaps for vascular safety and provide a roadmap for a regulatory perspective necessary for advancing the field; 3) propose a minimum core set of process elements, or “vascular safety bundle”; and 4) develop a possible study design for a pragmatic trial platform to evaluate which structured approach to vascular access drives most benefit and prevents vascular and bleeding complications in practice.

Original languageEnglish (US)
Pages (from-to)2003-2019
Number of pages17
JournalJACC: Cardiovascular Interventions
Issue number20
StatePublished - Oct 24 2022

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine


Dive into the research topics of 'Position Statement on Vascular Access Safety for Percutaneous Devices in AMI Complicated by Cardiogenic Shock'. Together they form a unique fingerprint.

Cite this