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Shock Teams(ST) have been associated with higher use of advanced mechanical circulatorysupportin cardiogenic shock(CS) patients. The impact of the ST on hospital VA-ECMO use for CS is undescribed. We performed a retrospective review of all patients treated at our institution with VA-ECMO for CS in the 18 months before (pre-ST era: January 2021-June 2022) and after (ST era: July 2022- December 2023) the creation of a local ST. Statistics are descriptive. Thirty-three patients received VA-ECMO for various CS etiologies during the study period. During the ST era there was a 130% increase in institutional VA-ECMO volume with lower median patient age and similar sex distribution. Peripheral cannulations and cannulations by interventional cardiology increased after the ST creation. ECPR and the use of atrial septostomy during ECMO were new adoptions in the ST era. Survival to discharge was unchanged. The creation of a ST led to important changes in patterns of ECMO use, with a large increase institutional volume and acceptable hospital survival.View Large Image Figure ViewerDownload Hi-res image Download (PPT)
Smoller et al. (Wed,) studied this question.