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Editorial
. 2017 Dec;9(12):4915-4918.
doi: 10.21037/jtd.2017.11.98.

To vent or not on veno-arterial extracorporeal membrane oxygenation, does it improve myocardial recovery and outcome?

Daniele Camboni  1 , Christof Schmid  1
Affiliations
Editorial

To vent or not on veno-arterial extracorporeal membrane oxygenation, does it improve myocardial recovery and outcome?

Daniele Camboni et al. J Thorac Dis. 2017 Dec.
No abstract available

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
This figure demonstrates the mortality rates of acute myocardial infarction with cardiogenic shock in the Worcester (MA, USA) metropolitan area over the past 40 years. One important study showing a survival benefit for patients in cardiogenic shock was the SHOCK trial (1). Another recent randomized study exploring the mortality of patients in cardiogenic shock was the SHOCK II trial evaluating the role of the IABP without showing a survival benefit (2). The ELSO registry is the largest ECMO registry worldwide with a mortality rate in the adult VA ECMO population of 60–70% similar and slightly higher to the above shown mortality rates (3). This figure is modified from Goldberg et al. (4). ELSO, Extracorporeal Life Support Organization; IABP, intraaortic balloon pump; VA, veno-arterial; ECMO, extracorporeal membrane oxygenation.
See this image and copyright information in PMC

Comment on

References

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    1. Thiele H, Zeymer U, Neumann F, et al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med 2012;367:1287-96. 10.1056/NEJMoa1208410 - DOI - PubMed
    1. Extracorporeal Life Support Organization. International Summary. Available online: www.elso.org
    1. Goldberg RJ, Spencer FA, Gore JM, et al. Thirty-year trends (1975 to 2005) in the magnitude of, management of, and hospital death rates associated with cardiogenic shock in patients with acute myocardial infarction: a population-based perspective. Circulation 2009;119:1211-9. 10.1161/CIRCULATIONAHA.108.814947 - DOI - PMC - PubMed
    1. Karagiannidis C, Brodie D, Strassmann S, et al. Extracorporeal membrane oxygenation: evolving epidemiology and mortality. Intensive Care Med 2016;42:889-96. 10.1007/s00134-016-4273-z - DOI - PubMed

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