Jul 2026· European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes· pp.
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Medicine
TL;DR
Routine early VA-ECMO in infarct-related CS has not demonstrated mortality benefit in randomized trials and is associated with increased complications; therefore, VA-ECMO should be reserved for selected phenotypes, including refractory shock with severe hypoxemia, profound biventricular failure, or circulatory collapse.
Current evidence on device-specific physiology, escalation and weaning, pulmonary vascular considerations, and post-transplant outcomes are summarized, and an integrated framework for individualized, trajectory-based decision-making is proposed.
Jorge A Ortega-Hernández, L. Baldetti, G. Gallone et al.· Current Heart Failure Report...· 0 citations
The Impella 5.5 is a surgically implanted micro-axial left ventricular assist device (LVAD) increasingly utilized for mechanical circulatory support (MCS) in cardiogenic shock. While typically used for acute support up to FDA-approved 14 days, reports of prolonged utilization remain limited. We present the case of a 69...
J. Shimamura, A. Levine, Stephen Pan et al.· Artificial Organs· 1 citation
Preoperative micro-axial support and planned RVAD were associated with improved 1 year survival after durable LVAD surgery; whether this reflects a causal relationship where the preconditioning of the right ventricle improves postoperative outcomes cannot be determined from this retrospective design.
A. Usman, Marisa Cevasco, Christian A. Bermudez et al.· ASAIO journal (1992)· 0 citations
This case highlights the value of program-level ECPR readiness in selected patients with monitored AMI-related refractory CA during emergency percutaneous coronary intervention and should be interpreted as hypothesis-generating rather than supporting unselective VA-ECMO use in AMI complicated by CS.
Zhiqiang Wang, Ya-Liang Tong, Yi Gao et al.· Frontiers in Cardiovascular...· 0 citations
A physiology-guided, multimodal monitoring framework that integrates pressure, flow, volumetric, and microcirculatory information with serial echocardiography is proposed to guide individualized clinical decision-making and avoid delayed recognition of ventricular failure or regional hypoperfusion.
M. Mirus, Paul Klinitzke, P. Spieth· Minerva Anestesiologica· 0 citations
The evolving paradigm positions VA-ECMO combined with percutaneous pulmonary mechanical thrombectomy as the preferred combination for the high-risk PE patients (acute right ventricular failure, refractory shock, and cardiac arrest), while percutaneous pulmonary mechanical thrombectomy alone with standby VA-ECMO suffice...
M. Davies, Joseph P. Hart· Frontiers in Cardiovascular...· 0 citations
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