Mechanical circulatory support

What is Mechanical Circulatory Support?

Mechanical circulatory support refers to devices that help the heart pump blood when it cannot do so effectively on its own. These devices improve blood flow and oxygen delivery, either temporarily or long-term. They are used in patients with advanced heart failure, those awaiting transplantation, or those not eligible for transplant but needing support.

A simple explanation for patients

Simply, mechanical circulatory support means using machines to take over some or all of the heart’s pumping work. These devices help blood circulate through your body, ensuring your organs get oxygen, especially when your heart is too weak to do this alone.

Why is Mechanical Circulatory Support Needed?

Doctors recommend mechanical circulatory support devices when severe heart failure or cardiogenic shock causes the heart to fail in supplying enough blood to the body. Without support, organs may be damaged, and survival decreases. These devices stabilise patients, improve blood flow, and can serve as a bridge to recovery, transplant, or a long-term solution.

Common Reasons and Key Conditions Treated

• Advanced heart failure with symptoms unresponsive to medication.

• Cardiogenic shock causes a critical drop in heart function.

• Bridge to heart transplantation while awaiting a donor.

• Recovery support after heart surgery or a heart attack.

• Long-term therapy in non-transplant candidates.

Why Choose Manipal Hospitals for Mechanical Circulatory Support?

Experience world-class care where innovation meets compassion in managing complex cardiac conditions.

• Expert Cardiologists and Surgeons: Skilled teams experienced in MCS management.

• Latest Devices: Including ventricular assist devices (VADs), intra-aortic balloon pumps (IABP), and ECMO.

• High Safety Standards: NABH and JCI accreditations assure quality and infection control.

• Comprehensive Care: Rehabilitation and telehealth support for international patients.

• Focused on Comfort: Personalised plans ensuring physical and emotional wellbeing.

Indications for Mechanical Circulatory Support Types

Candidates for MCS typically suffer from severe cardiac dysfunction refractory to medical therapy, needing mechanical assistance.

• Severe heart failure symptoms are worsening despite treatment.

• Cardiogenic shock is not responding to drugs.

• Preparation or support during high-risk cardiac surgeries.

• Bridge to transplant or recovery.

• Patients ineligible for transplant require long-term support.

Who Should Avoid or Delay Mechanical Circulatory Support?

While often essential, some situations may require evaluation before initiating MCS.

• Active life-threatening infections.

• Severe neurological impairment.

• Irreversible multi-organ failure.

• Poor candidacy due to other severe medical conditions.

Preparing for Mechanical Circulatory Support

• Thorough cardiac and systemic evaluations.

• Detailed discussion of device types and expected outcomes.

• Medication optimisation and allergy checks.

• Infection control measures.

• Travel and accommodation planning for international patients.

• Organising a caregiver or support person during recovery.

What Happens During the Mechanical Circulatory Support Procedure?

Depending on the type, the procedure may involve surgical implantation of ventricular assist devices, catheter-based insertion of balloon pumps, or ECMO setup. Procedures vary from minimally invasive to open surgery, typically under general anaesthesia with ICU monitoring.

Step-by-Step Breakdown

• Admission and baseline diagnostic testing.

• Preparation and administration of anaesthesia.

• Implantation or insertion of the MCS device based on clinical need.

• Continuous monitoring in cardiac ICU.

• Post-procedure evaluation and supportive care.

• Initiation of rehabilitation and weaning protocols, if applicable.

Recovery After Mechanical Circulatory Support

Recovery depends on device type and patient condition. It includes ICU stay, pain and infection control, gradual mobilization, and ongoing cardiac rehabilitation. International patients receive telemedicine follow-ups and coordinated care plans.

Risks & Complications

Risks include infection, bleeding, device malfunction, thrombosis, and stroke. Manipal Hospitals maintains strict protocols to mitigate risks. Sharing full medical history enables tailored monitoring and safer outcomes.

Benefits of Mechanical Circulatory Support Types

Key benefits of mechanical circulatory support include:

• Improved organ perfusion: Ensures tissues receive adequate oxygenated blood.

• Stabilization: Provides critical support during heart failure or shock.

• Bridge to recovery or transplant: Keeps patients stable until next treatment steps.

• Enhanced survival rates: Offers life-sustaining support in severe cases.

• Improved quality of life: Reduces symptoms and increases physical capacity.

Cost of Mechanical Circulatory Support in Manipal Hospitals

Costs for mechanical circulatory support therapies are more affordable, covering device implantation, hospital stay, investigations, medications, and early rehabilitation. We provide transparent, personalised cost estimates post-assessment to help international patients plan effectively.

International Patient Support at Manipal Hospitals

International patients receive assistance with visas, airport transfers, accommodation, interpreters, dietary preferences, and insurance/TPA coordination. A dedicated coordinator ensures personalised care throughout the treatment journey.