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This study found that, among patients who underwent PCI for AMI complicated by cardiogenic shock, overall use of MCS devices was constant, and a 2.5-fold increase in intravascular microaxial LVAD use was found along with a corresponding decrease in IABP use and a significant hospital-level variation in MCS device use. These trends were observed despite limited clinical trial evidence of improved outcomes associated with device use.
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Sanket S. Dhruva
San Francisco VA Medical Center
Joseph S. Ross
Dartmouth College
Bobak J. Mortazavi
Cardiac Imaging
JAMA Network Open
Yale University
University of California, San Francisco
Washington University in St. Louis
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Dhruva et al. (Mon,) studied this question.
synapsesocial.com/papers/69d59f9ed93a727eca1f2c90 — DOI: https://doi.org/10.1001/jamanetworkopen.2020.37748