Center for Shock and Circulatory Support

Overview

When someone goes into cardiogenic shock, their heart stops pumping blood like it’s supposed to. This typically happens during a heart attack, but other problems can also cause this life-threatening condition.

When blood doesn’t reach the organs in a normal way, they can shut down. People who are in cardiogenic shock might even temporarily need special devices to keep them alive. These devices are known as temporary mechanical circulatory support.

The Center for Shock and Circulatory Support (CSCS) at Cleveland Clinic brings together several teams to care for patients with cardiogenic shock. The goal is to standardize care and help coordinate complex care that stretches across teams. It’s comprised of the CCF Main Campus Cardiogenic Shock Team, Circulatory Support Technical Services and Shock Research/Innovations.

Why Choose Cleveland Clinic for Cardiogenic Shock Care?

Cleveland Clinic is nationally ranked and globally recognized as the world leader in cardiovascular care.

Every year, we see thousands of patients from all 50 states and dozens of countries at Cleveland Clinic's Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute to get care from some of the world's best healthcare providers.

Trusted experts

The faster someone in cardiogenic shock gets treatment, the less of a long-term impact it can have. We provide these high-level treatments using the latest tools and technology for excellent outcomes.

The cardiogenic shock team – CSCS’s backbone – offers a 24/7 emergency consultation service to healthcare providers. They’ll get support from a group of providers who specialize in:

• Heart failure.
• Cardiovascular surgery.
• Interventional cardiology.
• Critical care cardiology.
• Perfusion Services.
• Critical care transport.

Emergency Shock Team Activation & Physician Referrals

To activate the Shock Team, call Cleveland Clinic Transfer Center at 216.448.7000, and request a Shock Team consultation.

Demonstrated expertise

Cleveland Clinic has received the highest overall composite score star rating – three of three stars – in all six STS (Society of Thoracic Surgeons) star-rated heart categories. A three-star rating reflects better-than-expected outcomes in each category.

What We Treat

Our CSCS teams focus exclusively on helping healthcare providers optimize outcomes for patients in cardiogenic shock.

Healthcare providers should feel comfortable reaching out to the CSCS team if someone they’re treating needs temporary mechanical circulatory support, or has major heart issues that haven’t responded to other types of treatment.

Using mechanical circulatory support devices can benefit someone if they:

• Have any kind of cardiogenic shock.
• Have advanced heart failure.
• Need extracorporeal life support-cardiopulmonary resuscitation (ELCS-CPR).

The mechanical circulatory support platforms supported at Cleveland Clinic’s main campus include:

• Durable ventricular assist devices, including but not limited to:
  • HeartMate 3^®.
  • HeartMate II^® (Maintenance support only).
  • HeartWare^® (Maintenance support only).

• Temporary mechanical circulatory support devices, including but not limited to:
  • Abiomed Impella^® suite of devices.
  • TandemHeart^®
  • Intra-aortic balloon pump.
  • Veno- arterial extracorporeal membrane oxygenation (ECMO).

• Other Devices, including but not limited to:
  • Evolving Investigational Device Exemption (IDE) devices.

The center’s mission focuses on myocardial recovery. It leverages the use of temporary circulatory support devices to bridge patients to more definitive state-of-the-art therapies. These therapies can include high risk coronary interventions or coronary artery bypass grafting, valvular interventions, or high risk ablation. Timely bridging to more durable left ventricular assist devices (LVAD) and heart transplantation can be considered in cases that do not recover. As the field continues to evolve, new investigational therapies will become available.

Our Team

Directors

Michael Tong, MD, MBA, Surgical Director
Ziad Taimeh, MD, Medical Director

Cleveland Clinic Main Campus Cardiogenic Shock Team

Heart Failure Cardiothoracic Surgery

• Edward Soltesz, MD, MPH
• Mike Tong, MD, MBA
• Nick Smedira, MD, MBA
• Shinya Unai, MD
• Anthony Zaki, MD

Heart Failure and Transplantation Cardiology

• Andrew Higgins, MD, Heart Failure Lead
• Andres Carmona Rubio, MD
• Eileen Hsich, MD
• Emanuel Finet, MD
• Karen James, MD
• Karlee Hoffman, DO
• Trejeeve Martyn, MD
• Maria Mountis, DO
• Mazen Hanna, MD
• Miriam Jacob, MD
• Paulino Alvarez, MD
• Pavan Bhat, MD
• Ran Lee, MD
• Randall Starling, MD, MPH
• Sanjeeb Bhattacharya, MD
• H. Wilson Tang, MD
• Ziad Taimeh, MD
• Amanda Vest, MBBS

Interventional Cardiology

• Grant Reed, MD, MSc, Interventional Lead
• Michael Lincoff, MD
• Amar Krishnaswamy, MD
• Aravinda Nanjundappa, MBBS
• Christopher Bajzer, MD
• Joanna Ghobrial, MD, MS
• Joseph Martin, MD
• Khaled Ziada, MD
• Laura Young, MD
• Leslie Cho, MD
• Rishi Puri, MD, PhD
• Stephen Ellis, MD

Critical Care Cardiology

• Andrew Higgins, MD
• Michael Faulx, MD
• Ran Lee, MD
• Steven Nissen, MD
• Venugopal Menon, MD

Cardiovascular Anesthesia

• Balaram Anandamurthy, MD. Anesthesia CVICU Lead
• Abhishek Sharma, MD
• Ahmad Adi, MD
• Allen C Bashour, MD
• Brett Elo, MD
• Brett Wakefield, MD
• Chase Donaldson, MD
• Chiedozie Udeh, MD
• Dale Marsh, MD
• David Anthony, MD
• Donn Marciniak, MD
• Eric Chanowski, MD
• Eric Kaiser, MD
• Francis DiPierro, MD
• Gohar Dar, MD
• Gregory Bourdakos, MD
• Jean Deschamps, MD
• Jean-Pierre Yared, MD
• Jia Liu, MD
• John Medrick, MD
• Marcelo Gama de Abreu, MD
• Marius Gota, MD
• Mariya Geube, MD
• Mark H Zahniser, MD
• Michael Kot, MD
• Michael Taylor, MD
• Nakul Kumar, MD
• Neal Johnson, MD
• Paul Andrew Stephens, MD
• Steven Insler, MD

Perfusion

• Patrick Grady, MD

Critical Care Transport

• Abigail Brown, APRN, ACNP-C
• Fredric Hustey, MD

Emergency Shock Team Activation & Physician Referrals

By Phone

To activate the Shock Team, call Cleveland Clinic Transfer Center at 216.448.7000, and request a Shock Team consultation.

More info on referrals, transfers and critical care transport.

The address is:

Cleveland Clinic Heart, Vascular and Thoracic Institute
9500 Euclid Avenue
Cleveland, OH 44195

What to Expect:

Upon Shock Team activation, referring providers will be invited to join our Shock Team huddle to discuss their case with our on-call Multidisciplinary Shock Team members.

Travel to the Cleveland Clinic

To help make the visit to Cleveland Clinic as easy as possible, please visit: my.clevelandclinic.org/patients/travel.

More Information

If you need more information, click here to contact us, chat online with a nurse or call the Miller Family Heart, Vascular and Thoracic Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.

• Talking Tall Rounds®: Cleveland Clinic Cardiogenic Shock Team Initiatives. Dr Jerry Estep and Dr Venu Menon discuss a Tall Rounds® on the topic of Cardiogenic Shock, focusing on the team approach that is required to provide optimal care. 
• Circulatory Support in Cardiogenic Shock: Weaning Is Just as Important as Initiation.
• CCF Cardiogenic Shock Team: A Hub & Spoke Approach.
• Cardiogenic Shock.
• Talking Tall Rounds®: CCF Cardiogenic Shock Team Initiatives. Dr. Venu Menon and Dr. Edward Soltesz discuss cardiogenic shock and strategic opportunities.
• Cardiogenic shock: From ECMO to Impella and beyond.