Society guideline links: Mechanical circulatory support

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Acute respiratory failure and acute respiratory distress syndrome in adults" and "Society guideline links: Heart failure in adults".)

International

●International Society for Heart and Lung Transplantation (ISHLT): Consensus statements on heart failure-related cardiogenic shock (2024)

●ISHLT: Guidelines for mechanical circulatory support – A 10-year update (2023)

●ISHLT/Heart Failure Society of America (HFSA): Guideline on acute mechanical circulatory support (2023)

●Extracorporeal Life Support Organization (ELSO): Guidelines for adult and pediatric extracorporeal membrane oxygenation circuits (2022)

●International Society on Thrombosis and Haemostasis (ISTH): Guidance on anticoagulation in adult patients supported with extracorporeal membrane oxygenation (2022)

●ELSO: Guidelines for follow-up after neonatal and pediatric extracorporeal membrane oxygenation (2021)

●ELSO: Guidelines for pediatric cardiac failure (2021)

●ELSO: Guidelines for pediatric extracorporeal cardiopulmonary resuscitation (2021)

●ELSO: Guidelines for the management of adult patients supported with venovenous extracorporeal membrane oxygenation (VV ECMO) (2021)

●ELSO: Interim guidelines consensus statement on extracorporeal cardiopulmonary resuscitation in adults (2021)

●ELSO: Interim guidelines consensus statement on the management of congenital diaphragmatic hernia treated with extracorporeal life support (2021)

●ELSO: Interim guidelines for venoarterial extracorporeal membrane oxygenation in adult cardiac patients (2021)

●European Association for Cardio-Thoracic Surgery (EACTS)/ELSO/Society of Thoracic Surgeons (STS)/American Association for Thoracic Surgery (AATS): 2020 expert consensus on post-cardiotomy extracorporeal life support in adult patients (published 2021)

●AATS/ISHLT: Guidelines on selected topics in mechanical circulatory support (2020)

●ELSO: Guidelines for neonatal respiratory failure (2020)

●HFSA/Society for Academic Emergency Medicine (SAEM)/ISHLT: Clinical expert consensus document on the emergency management of patients with ventricular assist devices (2019)

●ISHLT/Academy of Psychosomatic Medicine (APM)/American Society of Transplantation (AST)/International Consortium of Circulatory Assist Clinicians (ICCAC)/Society for Transplant Social Workers (STSW): Recommendations for the psychosocial evaluation of adult cardiothoracic transplant candidates and candidates for long-term mechanical circulatory support (2018)

●ISHLT: Consensus document for prevention and management strategies for mechanical circulatory support infection (2017)

●Pediatric Acute Lung Injury Consensus Conference: Extracorporeal support in children with pediatric acute respiratory distress syndrome (2015)

●International ECMO Network: Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients (2014)

Canada

●Choosing Wisely Canada: Don't continue invasive mechanical ventilation without a daily assessment for the patient's ability to breathe spontaneously using coordinated spontaneous breathing and awakening trials (updated 2022)

●Choosing Wisely Canada: Don't prolong invasive mechanical ventilation by over-use of sedatives and/or analgesics and bed rest (updated 2022)

●Choosing Wisely Canada: Don't start or continue life supporting interventions unless they are consistent with the patient's values and realistic goals of care (updated 2022)

United States

●American Thoracic Society (ATS): Official clinical practice guideline on management of adult patients with acute respiratory distress syndrome, update (2024)

●International Society for Heart and Lung Transplantation (ISHLT)/Heart Failure Society of America (HFSA): Guideline on acute mechanical circulatory support (2023)

●American Association for Thoracic Surgery (AATS): Expert consensus document – The use of mechanical circulatory support in lung transplantation (2022)

●American Heart Association (AHA): A scientific statement on escalating and de-escalating temporary mechanical circulatory support in cardiogenic shock (2022)

●AHA: A scientific statement on management of hypertension in patients with ventricular assist devices (2022)

●European Association for Cardio-Thoracic Surgery (EACTS)/Extracorporeal Life Support Organization (ELSO)/Society of Thoracic Surgeons (STS)/AATS: 2020 expert consensus on post-cardiotomy extracorporeal life support in adult patients (published 2021)

●AATS/ISHLT: Guidelines on selected topics in mechanical circulatory support (2020)

●HFSA/Society for Academic Emergency Medicine (SAEM)/ISHLT: Clinical expert consensus document on the emergency management of patients with ventricular assist devices (2019)

●ISHLT/Academy of Psychosomatic Medicine (APM)/American Society of Transplantation (AST)/International Consortium of Circulatory Assist Clinicians (ICCAC)/Society for Transplant Social Workers (STSW): Recommendations for the psychosocial evaluation of adult cardiothoracic transplant candidates and candidates for long-term mechanical circulatory support (2018)

●AHA: A scientific statement with recommendations for the use of mechanical circulatory support – Ambulatory and community patient care (2017)

●AHA: A scientific statement on transplantation and mechanical circulatory support in congenital heart disease (2016)

●American Society of Echocardiography (ASE): Recommendations on echocardiography in the management of patients with left ventricular assist devices (2015)

●Society for Cardiovascular Angiography and Interventions (SCAI)/American College of Cardiology (ACC)/HFSA/STS: Clinical expert consensus statement on the use of percutaneous mechanical circulatory support devices in cardiovascular care (2015)

●AHA: A scientific statement with recommendations for the use of mechanical circulatory support – Device strategies and patient selection (2012)

Europe

●European Association for Cardio-Thoracic Surgery (EACTS)/Extracorporeal Life Support Organization (ELSO)/Society of Thoracic Surgeons (STS)/American Association for Thoracic Surgery (AATS): 2020 expert consensus on post-cardiotomy extracorporeal life support in adult patients (published 2021)

●European Society of Cardiology (ESC): Guidelines for the diagnosis and treatment of acute and chronic heart failure (2021)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Interventional procedures guidance on extracorporeal carbon dioxide removal for acute respiratory failure (2023)

●Scottish Intercollegiate Guidelines Network (SIGN): Management of chronic heart failure (2016, reaffirmed 2019)

●Faculty of Intensive Care Medicine (FICM)/Intensive Care Society (ICS): Guidelines on the management of acute respiratory distress syndrome (2018)

●NICE: Interventional procedures guidance on artificial heart implantation as a bridge to transplantation for end-stage refractory biventricular heart failure (2017)

●NICE: Interventional procedures guidance on implantation of a left ventricular assist device for destination therapy in people ineligible for heart transplantation (2015)

●NICE: Interventional procedures guidance on extracorporeal membrane oxygenation (ECMO) for acute heart failure in adults (2014)

●NICE: Interventional procedures guidance on extracorporeal membrane oxygenation for severe acute respiratory failure in adults (2011)

Australia–New Zealand

●National Heart Foundation of Australia (NHFA) and Cardiac Society of Australia and New Zealand (CSANZ): Guidelines for the prevention, detection, and management of heart failure in Australia (2018)

Japan

●[In English] Japanese Circulation Society (JCS)/Japanese Society for Cardiovascular Surgery (JSCVS)/Japanese Association for Thoracic Surgery (JATS)/Japanese Society for Vascular Surgery (JSVS): 2021 guideline on implantable left ventricular assist device for patients with advanced heart failure (published 2022)

●[In Japanese] JCS/JSCVS/JATS/JSVS: Guideline on implantable left ventricular assist device for patients with advanced heart failure (revised 2021)

●[In English] JCS/Japanese Heart Failure Society (JHFS): Guideline on diagnosis and treatment of acute and chronic heart failure, update (2021)

●[In Japanese] JCS/JHFS: Guideline on diagnosis and treatment of acute and chronic heart failure, update (2021)