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Over the last decade there has been a significant increase in the utilization of mechanical circulatory support (MCS) devices. Advanced MCS devices are commonplace in the cardiothoracic intensive care. The indications for their use have broadened to include the prophylactic use in high-risk percutaneous coronary interventions or surgery, as an adjunct to cardiopulmonary and as part of the routine management of intractable cardiogenic shock. MCS are typically classified as either temporary or durable and will be discussed in this chapter.
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