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Review
. 2023 Oct;40(10):4151-4165.
doi: 10.1007/s12325-023-02598-8. Epub 2023 Jul 18.

Perspectives and Considerations of IABP in the Era of ECMO for Cardiogenic Shock

Affiliations
Review

Perspectives and Considerations of IABP in the Era of ECMO for Cardiogenic Shock

Zelin Chen et al. Adv Ther. 2023 Oct.

Abstract

The development of mechanical circulatory support (MCS) has been rapid, and its use worldwide in patients with cardiogenic shock is increasingly widespread. However, current statistical data and clinical research do not demonstrate its significant improvement in the patient prognosis. This review focuses on the widely used intra-aortic balloon pumps (IABP) and veno-arterial extracorporeal membrane oxygenation (VA-ECMO), analyzing and comparing their characteristics, efficacy, risk of complications, and the current exploration status of left ventricular mechanical unloading. Subsequently, we propose a rational approach to viewing the negative outcomes of current MCS, and look ahead to the future development trends of IABP.

Keywords: Cardiogenic shock; Extracorporeal membrane oxygenation; Intra-aortic balloon pump; Mechanical circulatory support; Mechanical unloading.

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