Mechanical circulatory support (MCS) has become a cornerstone of therapy for patients
with compromised cardiac output. Patients with refractory cardiac arrest and cardiogenic
shock after return of spontaneous circulation (ROSC) have been a particular target
for mechanical support due to the high mortality associated with these conditions.
The ability to augment or fully replace native cardiac function with a reliably deployable
percutaneous device has allowed hemodynamic stabilization of these very unstable patients.
However, this significant benefit must be weighed against the risk of complications
that may lead to significant morbidity or mortality.
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Patient selection, risk mitigating insertion techniques, and post-stabilization care
remain critical.To read this article in full you will need to make a payment
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References
- Pitfalls in percutaneous ECMO cannulation.Heart Lung Vessels. 2015; 7: 320-326
- Surviving refractory out-of-hospital ventricular fibrillation cardiac arrest: critical care and extracorporeal membrane oxygenation management.Resuscitation. 2018; 132: 47-55
- Complications in patients with acute myocardial infarction supported with extracorporeal membrane oxygenation.J Clin Med. 2020; : 9
- The evolving landscape of Impella use in the United States among patients undergoing percutaneous coronary intervention with mechanical circulatory support.Circulation. 2020; 141: 273-284
- Myocardial dysfunction and shock after cardiac arrest.BioMed Res Int. 2015; 2015: 314796
- Out-of-hospital cardiac arrest: early in-hospital hypotension versus out-of-hospital factors in predicting in-hospital mortality among those surviving to hospital admission.Resuscitation. 2011; 82: 1314-1317
- Early arterial hypotension is common in the post-cardiac arrest syndrome and associated with increased in-hospital mortality.Resuscitation. 2008; 79: 410-416
- Trends in utilization of mechanical circulatory support in patients hospitalized after out-of-hospital cardiac arrest.Resuscitation. 2018; 127: 105-113
- Intraaortic balloon support for myocardial infarction with cardiogenic shock.N Engl J Med. 2012; 367: 1287-1296
- Contemporary trends in use of mechanical circulatory support in patients with acute MI and cardiogenic shock.Open Heart. 2020; 7: e001214
- Early initiation of impella in acute myocardial infarction complicated by cardiogenic shock improves survival: a meta-analysis.JACC Cardiovasc Interv. 2017; 10: 1805-1806
- Acute biventricular mechanical circulatory support for cardiogenic shock.J Am Heart Assoc. 2017; : 6
- A randomized clinical trial to evaluate the safety and efficacy of a percutaneous left ventricular assist device versus intra-aortic balloon pumping for treatment of cardiogenic shock caused by myocardial infarction.J Am Coll Cardiol. 2008; 52: 1584-1588
- Percutaneous mechanical circulatory support versus intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction.J Am Coll Cardiol. 2017; 69: 278-287
- Impella use in acute myocardial infarction complicated by cardiogenic shock and cardiac arrest: analysis of 10 years registry data.Resuscitation. 2019; 140: 178-184
- Mechanical circulatory support with Impella versus intra-aortic balloon pump or medical treatment in cardiogenic shock-a critical appraisal of current data.Clin Res Cardiol: official journal of the German Cardiac Society. 2019; 108: 1249-1257
- Percutaneous short-term active mechanical support devices in cardiogenic shock: a systematic review and collaborative meta-analysis of randomized trials.Eur Heart J. 2017; 38: 3523-3531
- Prospective comparison of a percutaneous ventricular assist device and venoarterial extracorporeal membrane oxygenation for patients with cardiogenic shock following acute myocardial infarction.J Am Heart Assoc. 2019; 8: e012171
- Survival and variability over time from out of hospital cardiac arrest across large geographically diverse communities participating in the Resuscitation Outcomes Consortium.Resuscitation. 2018; 131: 74-82
- The evolving role of the cardiac catheterization laboratory in the management of patients with out-of-hospital cardiac arrest: a scientific statement from the American Heart Association.Circulation. 2019; 139: e530-e552
- Coronary artery disease in patients with out-of-hospital refractory ventricular fibrillation cardiac arrest.J Am Coll Cardiol. 2017; 70: 1109-1117
- Minnesota resuscitation consortium's advanced perfusion and reperfusion cardiac life support strategy for out-of-hospital refractory ventricular fibrillation.J Am Heart Assoc. 2016; 5: e003732
- Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial).Resuscitation. 2015; 86: 88-94
- A pre-hospital extracorporeal cardio pulmonary resuscitation (ECPR) strategy for treatment of refractory out hospital cardiac arrest: an observational study and propensity analysis.Resuscitation. 2017; 117: 109-117
- Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with out-of-hospital cardiac arrest: a prospective observational study.Resuscitation. 2014; 85: 762-768
- Improved survival with extracorporeal cardiopulmonary resuscitation despite progressive metabolic derangement associated with prolonged resuscitation.Circulation. 2020; 141: 877-886
- Early initiation of extracorporeal life support in refractory out-of-hospital cardiac arrest: design and rationale of the INCEPTION trial.Am Heart J. 2019; 210: 58-68
- National trends in utilization and outcomes of extracorporeal support for in- and out-of-hospital cardiac arrest.Resuscitation. 2020; 151: 181-188
- International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations.Resuscitation. 2019; 145: 95-150
- American heart association focused update on advanced cardiovascular life support: use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.Circulation. 2019; 140: e881-e894
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Publication history
Published online: April 24, 2020
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© 2020 Elsevier B.V. All rights reserved.
