Mechanical Circulatory Support/ECMO Indications — free guideline decision tool
This tool guides selection of mechanical circulatory support (IABP, Impella, VA-ECMO, or RV assist) in cardiogenic shock by the type of failure, integrating recent randomized trials and 2023 ESC / 2025 ACC/AHA recommendations.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Mechanical Circulatory Support/ECMO Indications do?
Use at the bedside in cardiogenic shock to match the device to the failure pattern — isolated LV, refractory/arrest, RV/biventricular, or mechanical complication — while emphasizing early recognition, referral to experienced centers, and a planned weaning/escalation strategy.
How is the result calculated?
Decision logic by failure type: isolated LV → Impella (STEMI severe/refractory, IIa); refractory/arrest/cardiopulmonary failure → VA-ECMO ± LV unloading (against routine use; IIb for refractory); RV/biventricular → RV assist or VA-ECMO; mechanical complication → IABP bridge.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Mechanical Circulatory Support/ECMO Indications now
This tool guides selection of mechanical circulatory support (IABP, Impella, VA-ECMO, or RV assist) in cardiogenic shock by the type of failure, integrating recent randomized trials and 2023 ESC / 2025 ACC/AHA recommendations.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.