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Impella and Venoarterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating Acute Myocardial Infarction by Margriet Bogerd; Sanne ten Berg; Elma J. Peters; Alexander P.J. Vlaar; Annemarie E. Engström; Luuk C. Otterspoor; Christian Jung; Dirk Westermann; Janine Pöss; Holger Thiele; Benedikt Schrage; José P.S. Henriques is a Medicine article available to read on EtoBox.

What is Impella and Venoarterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating Acute Myocardial Infarction about?

## Abstract ## Aims This study aimed to give contemporary insight into the use of Impella and venoarterial extracorporeal membrane oxygenation (VA‐ECMO) in acute myocardial infarction‐related cardiogenic shock (AMICS) and into associated outcomes, adverse events, and resource demands. ## Methods and results This nationwide observational cohort study describes all AMICS patients treated with Impella (ABIOMED, Danvers, MA, USA) and/or VA‐ECMO in 2020–2021. Impella and/or VA‐ECMO were used in 20% of all AMICS cases (__n__ = 4088). Impella patients were older (34% vs. 13% >75 years, __p__ < 0.001) and less frequently presented after an out‐of‐hospital cardiac arrest (18% vs. 40%, __p__ < 0.001). In‐hospital mortality was lower in the Impella versus VA‐ECMO cohort (61% vs. 67%, __p__ = 0.001). Adverse events occurred less frequently in Impella‐supported patients: acute haemorrhagic anaemia (36% vs. 68%, __p__ < 0.001), cerebrovascular accidents (4% vs. 11%, __p__ < 0.001), thromboembolisms of the extremities (5% vs. 8%, __p__ < 0.001), systemic inflammatory response syndrome (21% vs. 25%, __p__ = 0.004), acute kidney injury (44% vs. 53%, __p__ < 0.001), and acute liver failure (7% vs. 1

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Author

Margriet Bogerd; Sanne ten Berg; Elma J. Peters; Alexander P.J. Vlaar; Annemarie E. Engström; Luuk C. Otterspoor; Christian Jung; Dirk Westermann; Janine Pöss; Holger Thiele; Benedikt Schrage; José P.S. Henriques

Publisher

Wiley

Published

2023

Language

EN

Field

Medicine (Health Sciences)