Acute cardiac care & resuscitation

Timing of Veno-Arterial Extracorporeal Membrane Oxygenation Support in Patients with Cardiogenic Shock

Eur J Heart FailPublished Multicentre cohort study

Authors' conclusion

In this exploratory study of patients with CS treated with MCS, the timing of device implantation within 24 h after CS onset was not associated with mortality.

Study context

Population
Patients with cardiogenic shock (CS) treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and/or microaxial flow pump
Participants
330 patients
Exposure
Early vs intermediate vs delayed mechanical circulatory support (MCS) implantation after CS onset
Outcome
30-day all-cause mortality
Follow-up
30 days
Methodological details15 tertiary care centres in three countries, exploratory
  • 15 tertiary care centres in three countries
  • Exploratory

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Group shares

Safety

Complications, related and unrelated to MCS

Did not differ significantly among groups

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Timing of Veno-Arterial Extracorporeal Membrane Oxygenation Support in Patients with Cardiogenic Shock. Eur J Heart Fail. Published 24 October 2024. doi:10.1002/ejhf.3498

Summarised from the published abstract; every number is checked against it

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