Evidence map›Paper›PMID 37875966›Full record

ArticleJournal of cardiothoracic surgery2023

Effectiveness of VA-ECMO plus intra-aortic balloon pump for cardiac shock in patients with type A aortic dissection: a case series.

Hui Wu, Pengfei Chen, Jinhua Wei, Fengbo Pei, Mingjian Chen, Diming Zhao, Liqing Wang, Jundong Pu, Zujun Chen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
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

9 authors at 1 institution in 1 country.

Hui Wu *Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Pengfei Chen *Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Jinhua WeiCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Fengbo PeiCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Mingjian ChenCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Diming ZhaoCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Liqing WangCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
Jundong PuCardiovascular surgery department, Dali Bai Autonomous Prefecture People's Hospital, Dali, China.
Zujun ChenCardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China. chenzujun@fuwai.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences No. 2021-1-I2M-016
6 · The paper itself

Abstract

Limited reports exist on the utilization of venoarterial extracorporeal membrane oxygenation (VA-ECMO) following aortic dissection surgery, possibly due to concerns regarding complications. This case series aimed to evaluate the effectiveness and safety of using VA-ECMO in combination with intra-aortic balloon pump (IABP) for managing postoperative cardiogenic shock in patients with type A aortic dissection (AAD). The study included nine patients with an average age of 57.0 ± 9.5 years. The patients underwent various surgical procedures, including coronary artery bypass grafting (CABG) and aortic root reconstruction. The results showed that the combined use of VA-ECMO and IABP was feasible and effective in managing postoperative cardiogenic shock in AAD patients. However, the in-hospital mortality rate was high, with six out of nine patients succumbing to the condition. Among the patients who received VA-ECMO plus IABP in the operating room, four were successfully weaned from VA-ECMO, and three survived with a mean follow-up of 20 months. The study also highlighted the potential risks of renal complications associated with VA-ECMO and IABP. The findings suggest that the combined therapy of VA-ECMO and IABP may be beneficial for patients who have difficulty weaning from cardiopulmonary bypass (CPB) after AAD surgery.

Indexed as

Aortic DissectionExtracorporeal Membrane OxygenationAgedAortaHumansIntra-Aortic Balloon PumpingMiddle AgedShock, CardiogenicCoronary artery bypass graftExtracorporeal membrane pulmonary circulationIntra-aortic balloon pumpType a aortic dissection

Identifiers

PMID37875966
PMCPMC10594738
OpenAlexW4387905261

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.