What question did this study set out to answer?

To examine the trends and patterns in the use of mechanical circulatory support during percutaneous coronary intervention for patients with cardiogenic shock.

September 28, 2015Open Access

Use of Mechanical Circulatory Support in Patients Undergoing Percutaneous Coronary Intervention

Key Points

To examine the trends and patterns in the use of mechanical circulatory support during percutaneous coronary intervention for patients with cardiogenic shock.
Analyzed data from a large national registry

Structured PICO

Population

Patients undergoing percutaneous coronary intervention (PCI) for cardiogenic shock in a large national registry

Intervention

Mechanical circulatory support (intra-aortic balloon pump [IABP] and other mechanical circulatory support [O-MCS])

Outcome

Trends in the use of IABP and O-MCS over time and variation across hospitals

Despite a decrease in IABP use for cardiogenic shock during PCI, there has been no compensatory increase in other mechanical circulatory support devices, which remain concentrated in a few hospitals.

Abstract

In this large national registry, the use of IABP in the setting of PCI for cardiogenic shock decreased over time without a concurrent increase in O-MCS use. The probability of IABP and O-MCS use varied across hospitals, and the use of O-MCS was clustered at a small number of hospitals.

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Cite This Study

Sandhu et al. (Mon,) studied this question.

synapsesocial.com/papers/69d48a6595972252e7dc759b https://doi.org/https://doi.org/10.1161/circulationaha.114.014451

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