Why VA-ECMO should not be used routinely in AMI-Cardiogenic Shock

Holger Thiele,Steffen Desch,Anne Freund,Uwe Zeymer

The Journal of Heart and Lung Transplantation（2024）

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摘要

This review summarizes the current evidence regarding efficacy and safety of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in the setting of cardiogenic shock. Currently, there is evidence from 4 randomized controlled trials which all do not support a mortality benefit and increased complication rates by VA-ECMO. Based on current evidence, possible subgroups will be discussed and indications in selected very small patient groups be discussed.

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关键词

cardiogenic shock,VA-ECMO,acute myocardial infarction,mechanical circulatory support,extracorporeal life support

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