12. Cardiogenic shock and cardiac arrest

ECMO-CS for therapy of cardiogenic shock

ECMO-CS
Objective
to investigate whether immediate implementation of extra-corporeal membrane oxygenation (ECMO) as compared to conservative therapy for cardiogenic shock in more effective
Study
investigator-initiated, multicentre, randomised trial
Population
patients with rapidly deteriorating or severe cardiogenic shock
Endpoints
composite of any-death, resuscitated cardiac arrest or implementation other mechanical circulatory support at 30 days
ECMO-CS
ECMO-CS
Conclusion
adverse clinical outcomes did not improve with immediate ECMO compared to no immediate ECMO for patients with rapidly deteriorating or severe cardiogenic shock
Ostadal et al. Circulation 2023:147: 454-464
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