Key result
VA-ECMO enables high-risk PCI in refractory cardiogenic shock but fails to prevent in-hospital mortality.
Why the study?
Management strategies for percutaneous coronary intervention under mechanical circulatory support in profound cardiogenic shock complicating acute myocardial infarction are not well described.
Case Report (n=2)
No
While VA-ECMO with LV venting can successfully facilitate complex staged PCI in refractory cardiogenic shock, overall mortality remains extremely high, highlighting the critical need for careful patient selection.
VA-ECMO may facilitate complex PCI in refractory cardiogenic shock; leaves open survival benefit and selection criteria.
We describe two cases of profound cardiogenic shock complicating acute myocardial infarction (CSAMI) requiring mechanical circulatory support (MCS) with venoarterial extracorporeal membrane oxygenation (VA-ECMO) allowing complex, high-risk, and staged percutaneous interventions with successful decannulation but with unfortunate outcomes.
No takes yet. Share an insight, caveat, or question.
Ahmed et al. (2020) conducted a case report in Refractory cardiogenic shock complicating acute myocardial infarction (n=2). Mechanical circulatory support with VA-ECMO and staged PCI was evaluated on Survival to hospital discharge. Mechanical circulatory support with VA-ECMO allowed for complex, high-risk, and staged percutaneous coronary interventions in two patients with refractory cardiogenic shock, though both ultimately died during hospitalization.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: