Age and Associated Outcomes Among Patients Receiving V-A ECMO

Age and Associated Outcomes Among Patients Receiving V-A ECMO

In a multinational study using the ELSO Registry, we found that increasing age was strongly associated with higher risk of hospital mortality and complications among patients receiving V-A ECMO for cardiogenic shock, with... read more

Revisiting VA-ECMO in Infarct-related Cardiogenic Shock

Revisiting VA-ECMO in Infarct-related Cardiogenic Shock

Despite advances in medical therapies and coronary revascularization, infarct-related cardiogenic shock remains a life-threatening emergency with high death rates. Temporary mechanical circulatory support, including peripheral... read more

ECLS in Infarct-Related Cardiogenic Shock

ECLS in Infarct-Related Cardiogenic Shock

In patients with acute myocardial infarction complicated by cardiogenic shock with planned early revascularization, the risk of death from any cause at the 30-day follow-up was not lower among the patients who received ECLS... read more

Manual of Cardiac Intensive Care

Manual of Cardiac Intensive Care

Addressing the changing needs of clinicians in today’s CCU, ICU and CICU, Manual of Cardiac Intensive Care is an easy-to-use, point-of-care reference for cardiologists, intensivists, physicians, trainees, and other health... read more

Pulmonary Artery Catheter Use and Mortality in the Cardiac ICU

Pulmonary Artery Catheter Use and Mortality in the Cardiac ICU

The appropriate use of pulmonary artery catheters (PACs) in critically ill cardiac patients remains debated. There is wide variation in the use of PACs that is not fully explained by patient level-factors and appears driven... read more

Management of RV-Predominant Heart Failure and Shock in the Cardiac ICU

Management of RV-Predominant Heart Failure and Shock in the Cardiac ICU

Cardiogenic shock from left ventricular failure is a common presentation in the intensive care unit. In contrast, right ventricular (RV)-predominant heart failure (HF) causing shock is less well recognized. We review... read more

Essentials of Shock Management: A Scenario-Based Approach

Essentials of Shock Management: A Scenario-Based Approach

This book is designed to offer the reader first-rate guidance on shock management in the real world. Comprehensive, evidence-based, and up-to-date instruction is provided on optimal care of patients with different types of... read more

Percutaneous vs. Surgical Cannulation for Femoro-Femoral VA-ECMO in Cardiogenic Shock Patients

Percutaneous vs. Surgical Cannulation for Femoro-Femoral VA-ECMO in Cardiogenic Shock Patients

Compared with surgical cannulation, percutaneous cannulation was independently associated with lower in-hospital mortality and fewer complications. Among 12,592 patients meeting study inclusion, 9,249 (73%) underwent percutaneous... read more

The Pulmonary Artery Catheter: A Solution Still Looking For a Problem

The Pulmonary Artery Catheter: A Solution Still Looking For a Problem

In 1970, Jeremy Swan, William Ganz, and colleagues published their seminal paper “Catheterization of the heart in man with use of flow-directed balloon-tipped catheter”. Few devices in our specialty have generated more... read more

Use of Hemoadsorption in Patients With Severe Intoxication Requiring ECMO

Use of Hemoadsorption in Patients With Severe Intoxication Requiring ECMO

Drugs intoxications often lead to severe vasoplegia and cardiogenic shock, and VA-ECMO represents a viable therapy option. However, as cardiopulmonary support is not contributing to the removal of the causal agent from the... read more

Cardiac Injury in COVID-19

Cardiac Injury in COVID-19

Patients with coronavirus disease 2019 (COVID-19) can present with a large panel of cardiac manifestations, including myocardial infarction with (type 1) or without (type 2) obstructive coronary artery disease, arterial or... read more

Pulmonary Artery Catheterization in Patients with Cardiogenic Shock

Pulmonary Artery Catheterization in Patients with Cardiogenic Shock

Very low-quality observational evidence suggests pulmonary artery catheterization (PAC) use in patients with cardiogenic shock is associated with lower mortality. Overall, these results support consideration of PAC for... read more

Dynamic and Hybrid Configurations for ECMO

Dynamic and Hybrid Configurations for ECMO

Dynamic or hybrid configurations for extracorporeal membrane oxygenation (ECMO) are needed when patient physiology or clinical conditions change. Dynamic configurations included configurations converting from veno-arterial... read more

Milrinone vs. Dobutamine in the Treatment of Cardiogenic Shock

Milrinone vs. Dobutamine in the Treatment of Cardiogenic Shock

In patients with cardiogenic shock, no significant difference between Milrinone and Dobutamine was found with respect to the primary composite outcome or important secondary outcomes. A total of 192 participants (96 in... read more