There has been a significant increase in the use of short-term percutaneous ventricular assist devices (pVADs) as acute circulatory support in cardiogenic shock and to provide haemodynamic support during interventional procedures, including high-risk percutaneous coronary interventions. Although frequently considered together, pVADs differ in their haemodynamic effects, management, indications, insertion techniques, and monitoring requirements. This consensus document summarizes the views of an expert panel by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC) and appraises the value of short-term pVAD. It reviews the pathophysiological context and possible indications for pVAD in different clinical settings and provides guidance regarding the management of pVAD based on existing evidence and best current practice.

3rd Department of Medicine Cardiology and Intensive Care Medicine Wilhelminenhospital Montleartstrasse 37 A 1160 Vienna and Sigmund Freud University Medical School Freudplatz 3 A 1020 Vienna Austria

Cardiac Center IKEM Prague Videnska 1958 9 14021 Prague 4 Czech Republic

Cardiac Intensive Care Unit IRCCS San Raffaele Scientific Institute Via Olgettina 60 20132 Milan Italy

Department of Adult Intensive Care Unit Royal Brompton and Harefield NHS Foundation Trust Royal Brompton Hospital Sydney Street SW3 6NP London UK

Department of Anesthesia and Intensive Care IRCCS ISMETT UPMC Italy Via Ernesto Triconi 5 94100 Palermo Italy

Department of Cardiology and Critical Care Medicine Jessa Ziekenhuis Stadsomvaart 11 3500 Hasselt Belgium and Faculty of Medicine and Life Sciences University of Hasselt Martelarenplein 42 3500 Hasselt Belgium

Department of Cardiology Copenhagen University Hospital Blegdamsvej 9 2100 Copenhagen Denmark

Department of Cardiology Copenhagen University Hospital Rigshospitalet Blegdamsvej 9 2100 Copenhagen Denmark

Department of Cardiology Oslo University Hospital Ullevål and University of Oslo Kirkeveien 166 0450 Oslo Norway

Department of Cardiovascular Diseases University Hospitals Leuven Herestraat 49 3000 Leuven Belgium

Department of Clinical Surgical Diagnostic and Pediatric Sciences University of Pavia Unit of Anaesthesia and Intensive Care Fondazione Policlinico San Matteo Hospital IRCCS Piazzale Golgi 19 27100 Pavia Italy

Department of Internal Medicine Cardiology Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute Struempellstr 30 04289 Leipzig Germany

Department of Interventional Cardiology Erasmus University Medical Centre Dr Molewaterplein 40 3015 GD Rotterdam the Netherlands

Heart Center Trier Department of Internal Medicine 3 Krankenhaus der Barmherzigen Brüder Nordallee 1 54292 Trier Germany

Institute of Cardiology Jagiellonian University Medical College Krakow Poland and Maria Cecilia Hospital GVM Cotignola Ravenna Italy

Interventional Cardiology Unit Department of Cardiac Thoracic Vascular Sciences and Public Health University of Padova Via Giustiniani 2 35128 Padua Italy

Interventional Cardiology Unit IRCCS San Raffaele Scientific Institute Via Olgettina 60 20132 Milan Italy

Sorbonne Université INSERM UMRS_1166 ICAN Institute of Cardiometabolism and Nutrition and Department of Medical Intensive Care Unit Cardiology Institute Pitieé Salpeêtrieère Hospital Assistance Publique Hôpitaux de Paris Sorbonne University Medical School F 75013 Paris France

Translational and Clinical Research Institute Faculty of Medical Sciences Newcastle University and Cardiothoracic Centre Freeman Hospital Newcastle upon Tyne NHS Foundation Trust Newcastle upon Tyne NE2 4HH United Kingdom

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Pulsatile Left Ventricular Assistance in High-Risk Percutaneous Coronary Interventions: Short-Term Outcomes