作者
Darko Radakovic, Armin Zittermann, Alen Knezevic, Artyom Razumov, Dragan Opacic, Nicole Wienrautner, Christian Flottmann, Sebastian V Rojas, Henrik Fox, Rene Schramm, Michiel Morshuis, Volker Rudolph, Jan Gummert, Marcus-Andre Deutsch
发表日期
2022/1/1
期刊
Interactive cardiovascular and thoracic surgery
卷号
34
期号
1
页码范围
137-144
出版商
Oxford University Press
简介
OBJECTIVES
Patients in cardiogenic shock supported with venoarterial extracorporeal membrane oxygenation (VA-ECMO) may experience severe complications from reduced left ventricular (LV) unloading and increased cardiac afterload. These effects are usually modified by adding a percutaneous direct Impella vent or surgical LV vent on top of VA-ECMO in selected patients. However, direct comparisons between 2 LV unloading strategies in patients with cardiogenic shock due to myocardial infarction are lacking. Therefore, we sought to investigate the impact of these 2 different approaches.
METHODS
We enrolled 112 patients treated with an Impella or surgical LV vent during VA-ECMO support between January 2014 and February 2020. The primary endpoint was 30-day mortality. Secondary endpoints included rates of myocardial …
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D Radakovic, A Zittermann, A Knezevic, A Razumov… - Interactive cardiovascular and thoracic surgery, 2022