Evidence map›Paper›PMID 38038195›Full record

ArticleJournal of the American Heart Association2023

Changing Trends in Mechanical Circulatory Support Use and Outcomes in Patients Undergoing Percutaneous Coronary Interventions for Acute Coronary Syndrome Complicated With Cardiogenic Shock: Insights From a Nationwide Registry in Japan.

Yuji Nishimoto, Taku Inohara, Shun Kohsaka, Kenichi Sakakura, Tsutomu Kawai, Atsushi Kikuchi, Tetsuya Watanabe, Takahisa Yamada, Masatake Fukunami, Kyohei Yamaji and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Impella Versus VA-ECMO in Cardiogenic Shock: An Updated Systematic Review and Meta-Analysis With Exploratory Matched-Cohort Analyses.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Pooled it
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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

14 authors at 7 institutions in 1 country.

Yuji NishimotoDivision of Cardiology Osaka General Medical Center Osaka Japan.ORCID 0000-0003-1996-8540
Taku InoharaDepartment of Cardiology Keio University School of Medicine Tokyo Japan.ORCID 0000-0002-7889-2083
Shun KohsakaDepartment of Cardiology Keio University School of Medicine Tokyo Japan.ORCID 0000-0003-3779-2972
Kenichi SakakuraDivision of Cardiovascular Medicine, Saitama Medical Center Jichi Medical University Saitama Japan.ORCID 0000-0003-3566-0394
Tsutomu KawaiDivision of Cardiology Osaka General Medical Center Osaka Japan.ORCID 0000-0003-3567-6556
Atsushi KikuchiDivision of Cardiology Osaka General Medical Center Osaka Japan.
Tetsuya WatanabeDivision of Cardiology Osaka General Medical Center Osaka Japan.ORCID 0000-0003-3979-527X
Takahisa YamadaDivision of Cardiology Osaka General Medical Center Osaka Japan.
Masatake FukunamiDivision of Cardiology Osaka General Medical Center Osaka Japan.
Kyohei YamajiDepartment of Cardiology Kyoto University Kyoto Japan.ORCID 0000-0002-8798-9186
Hideki IshiiDepartment of Cardiovascular Medicine Gunma University Graduate School of Medicine Maebashi Japan.ORCID 0000-0003-4348-0123
Tetsuya AmanoDepartment of Cardiology Aichi Medical University Nagakute Japan.ORCID 0000-0002-6833-3675
Ken KozumaDepartment of Cardiology Teikyo University Hospital Tokyo Japan.
J‐PCI Registry Investigators
Osaka Prefectural Medical Center · JPKeio University · JPAichi Medical University · JPGunma University · JPJichi Medical University · JPKyoto University · JPTeikyo University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporal trends in the management of acute coronary syndrome complicated with cardiogenic shock after the revision of guideline recommendations for intra-aortic balloon pump (IABP) use and the approval of the Impella require further investigation, because their impact remains uncertain. METHODS AND

resultsUsing the Japanese Percutaneous Coronary Intervention (J-PCI) registry database from 2019 to 2021, we identified 12 171 patients undergoing percutaneous coronary intervention for acute coronary syndrome complicated with cardiogenic shock under mechanical circulatory support. The patients were stratified into 3 groups: (1) IABP alone, (2) Impella, and (3) venoarterial extracorporeal membrane oxygenation (VA-ECMO); the VA-ECMO group was further stratified into (3a) VA-ECMO alone, (3b) VA-ECMO in combination with IABP, and (3c) VA-ECMO in combination with Impella. The quarterly prevalence and outcomes were reported. The use of IABP alone decreased significantly from 63.5% in the first quarter of 2019 to 58.3% in the fourth quarter of 2021 (

conclusionsOur study revealed substantial changes in the use of different mechanical circulatory support modalities in acute coronary syndrome complicated with cardiogenic shock, but they did not significantly improve the outcomes.

Indexed as

Acute Coronary SyndromeHeart-Assist DevicesPercutaneous Coronary InterventionHumansIntra-Aortic Balloon PumpingJapanRegistriesShock, CardiogenicTreatment Outcomecardiogenic shockepidemiologyextracorporeal membrane oxygenationImpellaintra‐aortic balloon pumpingmechanical circulatory support

Identifiers

PMID38038195
PMCPMC10727314
OpenAlexW4389244948

What OpenQuestion 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 OpenQuestion graph.