Evidence map›Paper›PMID 38853663›Full record

ArticleThe International journal of artificial organs2024

Left ventricular unloading via percutaneous assist device during extracorporeal membrane oxygenation in acute myocardial infarction and cardiac arrest.

Jake M Kieserman, Ivan A Kuznetsov, Joseph Park, James W Schurr, Omar Toubat, Salim Olia, Christian Bermudez, Marisa Cevasco, Joyce Wald

Abstract read
In one paragraph

Article in The International journal of artificial organs, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Jake M KiesermanDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0009-0001-9351-0055
Ivan A KuznetsovDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Joseph ParkDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
James W SchurrDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Omar ToubatDivision of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Salim OliaDivision of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Christian BermudezDivision of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Marisa CevascoDivision of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Joyce WaldDivision of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA feared complication of an acute myocardial infarction (AMI) is cardiac arrest (CA). Even if return of spontaneous circulation is achieved, cardiogenic shock (CS) is common. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) supports patients with CS and is often used in conjunction with an Impella device (2.5 and CP) to off-load the left ventricle, although limited evidence supports this approach.

methodsThe goal of this study was to determine whether a mortality difference was observed in VA-ECMO alone versus VA-ECMO with Impella (ECPELLA) in patients with CS from AMI and CA. A retrospective chart review of 50 patients with AMI-CS and CA and were supported with VA-ECMO (

resultsBaseline characteristics were similar, except patients with ST-elevation myocardial infarction were more likely to be in the VA-ECMO group (

conclusionsRandomized trials are needed to determine if a mortality difference exists between VA-ECMO and ECPELLA platforms in patients with AMI complicated by CA and CS.

Indexed as

Extracorporeal Membrane OxygenationHeart ArrestHeart-Assist DevicesHospital MortalityMyocardial InfarctionShock, CardiogenicAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVentricular Function, LeftCardiac assist & artificial heartcardiogenic shockImpellamechanical circulatory supportmyocardial infarctionVA-ECMO

Identifiers

PMID38853663
PMCPMC11826357

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Registered trials

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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.