Journal article

Extracorporeal life support in cardiogenic shock: Impact of acute versus chronic etiology on outcome

Vincenzo Tarzia, Giacomo Bortolussi, Roberto Bianco, Edward Buratto, Jonida Bejko, Massimiliano Carrozzini, Marco De Franceschi, Dario Gregori, Dario Fichera, Fabio Zanella, Tomaso Bottio, Gino Gerosa

Journal of Thoracic and Cardiovascular Surgery | MOSBY-ELSEVIER | Published : 2015

Abstract

BACKGROUND: The role of extracorporeal life support (ECLS) in primary cardiogenic shock (PCS) is well established. In this study, we evaluated the impact of etiology on outcomes. METHODS: Between January 2009 and March 2013, we implanted a total of 249 patients with ECLS; we focused on 64 patients for whom peripheral ECLS was the treatment for PCS. Of these, 37 cases (58%) were "acute" (mostly acute myocardial infarction: 39%); 27 (42%) had an exacerbation of "chronic" heart failure (dilated cardiomyopathy: 30%; post-ischemic cardiomyopathy: 9%; and congenital: 3%). RESULTS: In the group with chronic etiology, 23 patients were bridged to a left ventricular assist device (52%) or heart transp..

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