Evidence map›Paper›PMID 38420544›Full record

ArticleJTCVS open2024

Concomitant use of extracorporeal membrane oxygenation and percutaneous microaxial assist device support for cardiogenic shock.

Shan P Modi, Yeahwa Hong, McKenzie M Sicke, Nicholas R Hess, Wyatt J Klass, Luke A Ziegler, Ryan M Rivosecchi, Gavin W Hickey, David J Kaczorowski, Raj Ramanan

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Shan P ModiDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Yeahwa HongDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
McKenzie M SickeSchool of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Nicholas R HessDepartment of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Wyatt J KlassHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Luke A ZieglerHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Ryan M RivosecchiDepartment of Pharmacy, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Gavin W HickeyDivision of Cardiology, University of Pittsburgh Medical Center, Pittsburgh, Pa.
David J KaczorowskiDepartment of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Raj RamananDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pa.
University of Pittsburgh Medical Center · US

Funding

Cardiothoracic Surgery Research Training ProgramT32HL160526 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JAMES D LUKETICH, Julie A Phillippi · 2022 to 2026
$1.5M
NHLBI NIH HHS T32 HL160526
6 · The paper itself

Abstract

Objectives: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with concomitant percutaneous microaxial left ventricular assist device support is an emerging treatment modality for cardiogenic shock (CS). Survival outcomes by CS etiology with this support strategy have not been well described. Methods: This study was a retrospective, single-center analysis of patients with CS due to acute myocardial infarction (AMI-CS) or decompensated heart failure (ADHF-CS) supported with VA-ECMO with concomitant percutaneous microaxial left ventricular assist device support from December 2020 to January 2023. Results: A total of 44 patients were included (AMI-CS, n = 20, and ADHF-CS, n = 24). Patients with AMI-CS and ADHF-CS had similar survival at 90 days postdischarge ( Conclusions: VA-ECMO with concomitant percutaneous microaxial left ventricular assist device support can be used to successfully manage patients with CS. There is no difference in survival or destination for AMI-CS and ADHF-CS with this support strategy. AMI-CS patients with initial VA-ECMO support have increased mortality in comparison to other cohorts. Future multicenter studies are required to fully analyze the differences between AMI-CS and ADHF-CS with this support strategy.

Indexed as

ADHF-CSAMI-CScardiogenicpVADshockVA-ECMO

Identifiers

PMID38420544
PMCPMC10897678
OpenAlexW4390064223

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.