Evidence map›Paper›PMID 38649295›Full record

ArticleESC heart failure2024

Haemodynamic implications of VA-ECMO vs. VA-ECMO plus Impella CP for cardiogenic shock in a large animal model.

Peter H Frederiksen, Louise Linde, Emilie Gregers, Nanna L J Udesen, Ole K Helgestad, Ann Banke, Jordi S Dahl, Lisette O Jensen, Jens F Lassen, Amalie L Povlsen and 4 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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 3 institutions in 1 country.

Peter H FrederiksenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-3712-7980
Louise LindeDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Emilie GregersDepartment of Cardiology, Heart Center, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Nanna L J UdesenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Ole K HelgestadDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Ann BankeDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Jordi S DahlDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Lisette O JensenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Jens F LassenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Amalie L PovlsenDepartment of Cardiothoracic Anaesthesiology, Odense University Hospital, Odense, Denmark.
Jeppe P LarsenDepartment of Cardiothoracic Anaesthesiology, Odense University Hospital, Odense, Denmark.
Henrik SchmidtDepartment of Cardiothoracic Anaesthesiology, Odense University Hospital, Odense, Denmark.
Hanne B RavnDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Jacob E MøllerDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DKCopenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsVeno-arterial extracorporeal membrane oxygenation (VA-ECMO) with profound left ventricular (LV) failure is associated with inadequate LV emptying. To unload the LV, VA-ECMO can be combined with Impella CP (ECMELLA). We hypothesized that ECMELLA improves cardiac energetics compared with VA-ECMO in a porcine model of cardiogenic shock (CS). METHODS AND

resultsLand-race pigs (weight 70 kg) were instrumented, including a LV conductance catheter and a carotid artery Doppler flow probe. CS was induced with embolization in the left main coronary artery. CS was defined as reduction of ≥50% in cardiac output or mixed oxygen saturation (SvO

conclusionsIn a porcine model of CS, we found lower PVA, with the ECMELLA configuration compared with VA-ECMO, indicating better cardiac energetics without compromising systemic perfusion.

Indexed as

Disease Models, AnimalExtracorporeal Membrane OxygenationHeart-Assist DevicesHemodynamicsShock, CardiogenicAnimalsSwineCardiogenic shockECMELLAImpellaPressure‐volume loopsVA‐ECMO

Identifiers

PMID38649295
PMCPMC11287291
OpenAlexW4395008944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.