Evidence map›Paper›PMID 41390619›Full record

ArticleBMC cardiovascular disorders2025

Early impact of CytoSorb® adsorber on proinflammatory cytokine plasmatic levels in a porcine model of refractory cardiogenic shock supported with VA-ECMO.

Juliette Piccoli, Tristan Ehrlich, Francesco Ferraro, Aude Falanga, Frédérique Groubatch-Joineau, Vanessa Marie, Fabrice Vanhuyse, Nguyen Tran, Daniel Grandmougin, Juan-Pablo Maureira

Abstract read
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Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Juliette PiccoliDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France.ORCID 0009-0000-8676-173X
Tristan EhrlichDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France.ORCID 0000-0001-6217-5963
Francesco FerraroDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France.
Aude FalangaSchool of Surgery, University of Lorraine, Nancy, France.ORCID 0009-0006-9605-5445
Frédérique Groubatch-JoineauSchool of Surgery, University of Lorraine, Nancy, France.ORCID 0009-0001-6830-1462
Vanessa MarieSchool of Surgery, University of Lorraine, Nancy, France.
Fabrice VanhuyseDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France.
Nguyen TranSchool of Surgery, University of Lorraine, Nancy, France.ORCID 0000-0002-7037-8936
Daniel GrandmouginDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France. d.grandmougin@me.com.ORCID 0000-0003-3193-3711
Juan-Pablo MaureiraDepartment of Cardiovascular Surgery and Heart Transplantation, CHRU Nancy-Brabois, University of Lorraine, Nancy, France.ORCID 0000-0002-3844-5692

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiogenic shock (CS) is a pejorative situation which often requires a circulatory support with VA-ECMO. However, VA-ECMO is known to trigger an inflammatory cascade with expression of proinflammatory cytokines Interleukin-6 (IL-6) and Interleukin-10 (IL-10) causing organ damages and hemodynamic deterioration. Cytokine adsorption using the CytoSorb® adsorber was recently proposed to mitigate the inflammatory response. As relevance of implementing CytoSorb® adsorber with VA-ECMO is not validated, we sought to assess whether it might early influence levels of IL-6 and IL-10 in a porcine model of ischemic refractory CS. MATERIALS AND

methodsCS was induced in 12 male pigs following acute proximal occlusion of the left anterior descending artery (LAD). After a low-flow period of 60 min, circulatory support with VA-ECMO was initiated and pigs were randomly assigned in two groups, CytoSorb® (-) (VA-ECMO without CytoSorb® adsorber: n = 6) and CytoSorb® (+) (VA-ECMO with CytoSorb® adsorber: n = 6). In each group, modulation of IL-6 and IL-10 was assessed during a four-hour procedure, as well as impact on arterial blood pressure, biological and biochemical, parameters.

resultsAfter 240 min, the Group CytoSorb® (+) demonstrated a significant propensity to reduce levels of IL-10, (p = 0.0421*). Regarding hemodynamics, biological and biochemical parameters, Cytosorb® adsorber showed no difference with the group CytoSorb® (-).

conclusionsDespite encouraging early benefits, further studies are still necessary to validate interests of a routine use of CytoSorb® adsorber with VA-ECMO.

Indexed as

Extracorporeal Membrane OxygenationInflammation MediatorsInterleukin-10Interleukin-6Shock, CardiogenicAdsorptionAnimalsDisease Models, AnimalHemodynamicsMaleSus scrofaSwineTime FactorsInflammation MediatorsInterleukin-10Interleukin-6Cardiogenic shockCytokines IL-6 - IL- 10CytoSorb® adsorberECMOInflammatory responsePorcine modelVA

Identifiers

PMID41390619
PMCPMC12822332

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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.