作者
Fernando Luís Scolari, Geraldine Trott, Daniel Schneider, Livia Adams Goldraich, Tulio Frederico Tonietto, Lídia Zytynski Moura, Eduardo Gehling Bertoldi, Marciane Maria Rover, Jonas Michel Wolf, Denise de Souza, Nadine Clausell, Carisi Anne Polanczyk, Luis Eduardo Rohde, Regis Goulart Rosa, Rodrigo Vugman Wainstein
发表日期
2022/3
期刊
The International Journal of Artificial Organs
卷号
45
期号
3
页码范围
292-300
出版商
SAGE Publications
简介
Aims
Treatment with mechanical circulatory support (MCS) has been proposed to mitigate mortality in cardiogenic shock (CS). However, there is a lack of data on MCS programs implementation and the effect of the learning curve on its outcomes in limited resources countries such as Brazil.
Methods
Prospective cohort of patients with CS admitted in four tertiary-care centers treated with Impella CP or veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Clinical outcomes were peri-procedural complications, short-term mortality rate, and the centers’ learning curve. The cohort was divided into two periods: from April 2017 to July 2018 (n = 24), and from August 2018 to December 2020 (n = 25).
Results
The study enrolled 49 patients [age 59 (43–63) years; 34 (70%) males]. The most common causes for CS were acute myocardial infarction in 22 (45%) and acute decompensation of chronic heart failure in …
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FL Scolari, G Trott, D Schneider, LA Goldraich… - The International Journal of Artificial Organs, 2022