Why the study?
Patients presenting with PIVSR in cardiogenic shock requiring an MCS bridge to definitive surgical repair continue to pose management challenges requiring individualized care plans.
VA-ECMO and Impella devices are feasible and safe options for mechanical circulatory support as a bridge to surgical repair in patients with post-infarction ventricular septal rupture.
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May support VA-ECMO or Impella as bridge in PIVSR; leaves open optimal selection and comparative outcomes.
: Patients presenting with PIVSR in cardiogenic shock requiring a MCS bridge to definitive surgical repair continue to pose a challenge to the multidisciplinary cardiovascular team as the diverse presentation and management issues require individualized care plans. Both VA-ECMO and the Impella family of devices play a role in the contemporary management of PIVSR and offer distinct advantages and disadvantages depending on the clinical scenario. The limited case numbers reported demonstrate feasibility, safety, and recommendations for optimal management.
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Coyan et al. (2022) studied this question.
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