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Scrutinizing mechanical circulatory support in cardiogenic shock: Have we jumped the gun?
Lüsebrink, Enzo; Lanz, Hugo; Thiele, Holger.
Afiliação
  • Lüsebrink E; Department of Medicine I, LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. Enzo.Luesebrink@gmx.de.
  • Lanz H; DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany. Enzo.Luesebrink@gmx.de.
  • Thiele H; Department of Medicine I, LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Crit Care ; 28(1): 80, 2024 03 15.
Article em En | MEDLINE | ID: mdl-38491468
ABSTRACT
Despite increasing therapeutic options and disposable resources, cardiogenic shock (CS) remains a formidable condition with high mortality. Today, veno-arterial extracorporeal membrane oxygenation and microaxial flow devices (Impella, Abiomed, Danvers, USA) are established forms of mechanical circulatory support (MCS) in CS, with increasing application over the years. Despite this trend, incorporation into current ESC (Class IIa, evidence C) and AHA/ACC (Class IIa, evidence B-NR) guidelines is based nearly exclusively on observational results. Despite these recommendations and increasing application, current evidence from randomized controlled trials has not provided clear mortality benefit. Thus, reflection on current evidence is hereby justified.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oxigenação por Membrana Extracorpórea / Coração Auxiliar Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Oxigenação por Membrana Extracorpórea / Coração Auxiliar Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article