Evidence map›Paper›PMID 37685643›Full record

ReviewJournal of clinical medicine2023

Extracorporeal Membrane Oxygenation (VA-ECMO) in Management of Cardiogenic Shock.

Klaudia J Koziol, Ameesh Isath, Shiavax Rao, Vasiliki Gregory, Suguru Ohira, Sean Van Diepen, Roberto Lorusso, Chayakrit Krittanawong

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Klaudia J KoziolSchool of Medicine, New York Medical College and Westchester Medical Center, Valhalla, NY 10595, USA.
Ameesh IsathDepartment of Cardiology, Westchester Medical Center, Valhalla, NY 10595, USA.ORCID 0000-0002-7992-8113
Shiavax RaoDepartment of Medicine, MedStar Union Memorial Hospital, Baltimore, MD 21218, USA.
Vasiliki GregoryDepartment of Medicine, MedStar Union Memorial Hospital, Baltimore, MD 21218, USA.
Suguru OhiraDivision of Cardiothoracic Surgery, New York Medical College and Westchester Medical Center, Valhalla, NY 10595, USA.
Sean Van DiepenDivision of Cardiology and Critical Care, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Roberto LorussoCardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, 6202 AZ Maastricht, The Netherlands.ORCID 0000-0002-1777-2045
Chayakrit KrittanawongCardiology Division, NYU Langone Health and NYU School of Medicine, New York, NY 10016, USA.
Westchester Medical Center · USMedStar Union Memorial Hospital · USMaastricht University Medical Centre · NLNYU Langone Health · USUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiogenic shock is a critical condition of low cardiac output resulting in insufficient systemic perfusion and end-organ dysfunction. Though significant advances have been achieved in reperfusion therapy and mechanical circulatory support, cardiogenic shock continues to be a life-threatening condition associated with a high rate of complications and excessively high patient mortality, reported to be between 35% and 50%. Extracorporeal membrane oxygenation can provide full cardiopulmonary support, has been increasingly used in the last two decades, and can be used to restore systemic end-organ hypoperfusion. However, a paucity of randomized controlled trials in combination with high complication and mortality rates suggest the need for more research to better define its efficacy, safety, and optimal patient selection. In this review, we provide an updated review on VA-ECMO, with an emphasis on its application in cardiogenic shock, including indications and contraindications, expected hemodynamic and echocardiographic findings, recommendations for weaning, complications, and outcomes. Furthermore, specific emphasis will be devoted to the two published randomized controlled trials recently presented in this setting.

Indexed as

cardiogenic shock (CS)extracorporeal membrane oxygenation (ECMO)left ventricle (LV)mechanical circulatory support (MCS)venoarterial

Identifiers

PMID37685643
PMCPMC10488419
OpenAlexW4386220092

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.