Juan J. Russo et al. JACC 2019;73:

Slides:

Advertisements

Similar presentations

Clinic of Cardiovascular and Thorax Surgery Bad Rothenfelde, Germany

Advertisements

Ventricular Assist Devices Brian Schwartz, CCP February 25, 2003.

Mechanical Circulatory Support Cardiogenic Shock Post AMI

Update on ECMO in paediatric patients

Ihab Alomari, MD, FACC Assistant professor – Interventional Cardiology University of California, Irvine Division of Cardiology Cath Lab Essentials : LV.

Cardiogenic shock management January 14 th, h30-12h.

Conflict of Interest Baxter Research Grant Medtronic Research Grant

From: Assessing the Risk of Progression From Asymptomatic Left Ventricular Dysfunction to Overt Heart Failure: A Systematic Overview and Meta-Analysis.

Contemporary Approaches to Acute Mechanical Circulatory Support

Management of Cardiogenic Shock in AMI

Improving Outcomes in Cardiogenic Shock

University of Chicago Medicine

Nat. Rev. Cardiol. doi: /nrcardio

Echocardiographic modalities for evaluation and risk stratification of heart failure patients. 3D indicates 3-dimensional; EF, ejection fraction; LA, left.

Surgical repair of descending thoracic and thoracoabdominal aortic aneurysm involving the distal arch: Open proximal anastomosis under deep hypothermia.

Spontaneous Coronary Artery Dissection

Relative mortality risk associated with quartiles of systolic blood pressure compared with systolic

The Use of Impella for CGS Patients Does It Save Lives?

Effects of Renal Replacement Therapy in Patients Receiving Extracorporeal Membrane Oxygenation: A Meta-Analysis Seon-Sook Han, MD, PhD, Hyun Jung Kim,

Novel Rotational Speed Modulation System Used With Venoarterial Extracorporeal Membrane Oxygenation Noritsugu Naito, MD, PhD, Takashi Nishimura, MD,

Extracorporeal Membrane Oxygenation as a Bridge to Pulmonary Endarterectomy Mohammad Mydin, MRCS, Marius Berman, MD, Andrew Klein, FRCA, Steven Tsui,

Figures for Jerrett et al. EDE –

Shinichi Fukuhara, MD, Koji Takeda, MD, PhD, Paul A

A Hard Look at Cardiogenic Shock: IABP-SHOCK II Revisited

Shadi Al Halabi et al. JACEP 2015;1:

Philip J Wolfson, MD The Annals of Thoracic Surgery

Mechanical Circulatory Support Devices HOSEIN PASANDI.

Ashish Shukla et al. JACEP 2015;1:41-51

Physiology Myocardial Oxygen Supply and Demanda,b.

Venovenous extracorporeal membrane oxygenation using a single cannula in patients with pulmonary hypertension and atrial septal defects Jeffrey Javidfar,

Nat. Rev. Cardiol. doi: /nrcardio

Surgical repair of descending thoracic and thoracoabdominal aortic aneurysm involving the distal arch: Open proximal anastomosis under deep hypothermia.

Clinical Characteristics and Outcomes of Patients With Myocardial Infarction and Cardiogenic Shock Undergoing Coronary Artery Bypass Surgery: Data From.

Juan J. Russo et al. JACC 2019;73:

RE-MODEL and RE-NOVATE : Total VTE and All-cause Mortality

Database-specific risk of ventricular arrhythmia associated with current use of azithromycin compared with current use of amoxicillin (2-stage random-effects.

Shohreh Honarbakhsh et al. JACEP 2017;j.jacep

Meta-Analysis of Peripheral or Central Extracorporeal Membrane Oxygenation in Postcardiotomy and Non-Postcardiotomy Shock Giuseppe Maria Raffa, MD, Mariusz.

David J.A. Jenkins et al. JACC 2018;71:

Figure 1 Flow diagram of the study

Matthew Oster et al. JACC 2019;73:

Conversion from percutaneous venoarterial extracorporeal membrane oxygenation access to a peripheral arterial cannulation: Is it safe? Carlo Banfi, MD,

Marcelo Cypel, MD, Thomas Waddell, MD, Lianne G

Jerry D. Estep et al. JCHF 2013;1:

Arterial lactate before initiation of venoarterial extracorporeal membrane oxygenation for postcardiotomy shock improves postimplant outcome prediction

Behnam N. Tehrani et al. JACC 2019;73:

Michela Brambatti et al. JACC 2017;70:

David L. Joyce, MD The Journal of Thoracic and Cardiovascular Surgery

Relative Risk of Onset of Cancer from the Cholesterol Treatment Trialists’ (CTT) Meta-Analysis of Statin Trials, According to Year of Onset Risk ratios.

Intra-Aortic Balloon Pumps

Preoperative Venoarterial Extracorporeal Membrane Oxygenation Slashes Risk Score in Advanced Structural Heart Disease A. Claire Watkins, MD, Nathan L.

Surabhi Madhwal et al. JIMG 2014;7:

Forest plot of intelligence (author/year/journal—CHD type).

Forest plot of verbal memory (Mem; author/year/journal—CHD-type/memory measure). Forest plot of verbal memory (Mem; author/year/journal—CHD-type/memory.

Absolute mortality difference Change in LVEF from baseline

Guidance for the use of bilateral internal thoracic arteries according to survival benefit across age groups Umberto Benedetto, MD, PhD, Mohamed Amrani,

Morbidity and mortality benefits with statin use in observational studies on a logarithmic scale. Morbidity and mortality benefits with statin use in observational.

Postcardiotomy extracorporeal membrane oxygenation for refractory cardiogenic shock Nilgun Bozbuga, MD, PhD The Journal of Thoracic and Cardiovascular.

Zachary L. Steinberg et al. JACC 2017;69:

George J Magovern, MD, Kathleen A Simpson, BS

Diagram of venovenous extracorporeal membrane oxygenation (VV-ECMO) (A) and venoarterial ECMO (VA-ECMO) (B) and patient circulation. Diagram of venovenous.

Kaplan-Meier estimates of all-cause mortality at 30 days.

Independent predictors of all-cause mortality at 30 days.

Effect of methylprednisolone versus placebo on the risk of acute kidney injury: subgroup analysis by preoperative chronic kidney disease. Effect of methylprednisolone.

Renal replacement therapy using an in-line hemofilter during extracorporeal membrane oxygenation (ECMO). Renal replacement therapy using an in-line hemofilter.

Chest roentgenogram with veno-venous extracorporeal membrane oxygenation (VV-ECMO) cannulas. Chest roentgenogram with veno-venous extracorporeal membrane.

Changes in clinical parameters and use of catecholamines during hospitalisation (A) inotropic score, B) serum lactate levels and (C) SAPS II from baseline.

Risk of 30-day hospital encounter with ventricular arrhythmia

Renal replacement therapy (RRT) using RRT machine during extracorporeal membrane oxygenation (ECMO). Renal replacement therapy (RRT) using RRT machine.

Presentation transcript:

Juan J. Russo et al. JACC 2019;73:654-662 Left Ventricular Unloading During Venoarterial Extracorporeal Membrane Oxygenation The association between left ventricular unloading during VA-ECMO for cardiogenic shock and all-cause mortality was assessed before and after stratification by left ventricular unloading strategy (IABP, pVAD, or RUPV or trans-septal left atrial cannula). The Mantel-Haenszel method was used to examine the overall risk ratio associated with left ventricular unloading during VA-ECMO using a random effects model. Left ventricular unloading during VA-ECMO for cardiogenic shock was associated with reduced mortality (RR: 0.79; 95% CI: 0.72 to 0.87; p < 0.00001). There was no heterogeneity in this association in relation to the specific left ventricular unloading strategy used (p = 0.47). CI = confidence interval; IABP = intra-aortic balloon pump; LA = left atrial; pVAD = percutaneous ventricular assist device; RR = relative risk; RUPV = right upper pulmonary vein; VA-ECMO = venoarterial extracorporeal membrane oxygenation. Juan J. Russo et al. JACC 2019;73:654-662 2019 The Authors