The use of temporary mechanical circulatory support (tMCS) in cardiogenic shock patients has increased during the last decades with most management strategies relying on observational studies and expert opinion, including hemodynamic monitoring, device selection, and timing of support institution/duration. In this context, imaging has a pivotal role throughout the patient pathway, from identification to initiation, monitoring, and weaning. This manuscript summarizes the consensus of an expert panel from the European Society of Cardiology Association for Acute CardioVascular Care, the European Association of CardioVascular Imaging, and the European Extracorporeal Life Support Organization, providing the rationale for and practical guidance of imaging to tMCS based on existing evidence and consensus on best current practice.

2nd Department of Medicine 1st Faculty of Medicine Charles University and General University Hospital Opletalova 38 110 00 Staré Město Prague Czech Republic

Cardiac Intensive Care Unit Heart Center Copenhagen University Hospital Rigshospitalet and Clinical Institute Copenhagen University Blegdamsvej 9 2100 Copenhagen Denmark

Cardiology and CIC IT1414 CHU de Rennes LTSI Université Rennes 1 INSERM 1099 2 Av du Professeur Léon Bernard 35043 Rennes France

Cardiology and Critical Care Royal Brompton Hospital Sydney St London SW3 6NP UK

CRPH Cardiovascular and Respiratory Physiology Group TechMed Centre Faculty of Science and Technology University of Twente Technohal Hallenweg 5 7522 NH Enschede The Netherlands

Department of Anaesthesia and Critical Care Medicine Azienda Ospedaliero Universitaria Pisana Via Paradisa 2 · 050 992111 Pisa Italy

Department of Anesthesiology Resuscitation and Intensive Medicine 1st Faculty of Medicine Charles University Prague and General University Hospital Opletalova 38 110 00 Staré Město Prague Czech Republic

Department of Cardiology Odense University Hospital and Copenhagen University Hospital Rigshospitalet Inge Lehmanns Vej 7 2100 Copenhagen Denmark

Department of Cardiology Oslo University Hospital Rikshospitalet Sognsvannsveien 20 0372 Oslo Norway

Department of Clinical Surgical Diagnostic and Pediatric Sciences University of Pavia Viale Brambilla 74 27100 Italy

Intensive Care Department Utrecht University Medical Centre Heidelberglaan 100 3584 CX Utrecht The Netherlands

Intensive Care Fondazione Policlinico San Matteo Hospital IRCCS Viale Camillo Golgi 19 Pavia Italy

National Heart and Lung Institute Imperial College Guy Scadding Building Dovehouse St London SW3 6LY UK

Royal Free Hospital Pond St London NW3 2QG UK

Universitair Ziekenhuis Brussel Department of Cardiology and Intensive Care Av du Laerbeek 101 1090 Jette Brussel Belgium

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