ECMO-CS
Veno-Arterial ECMO in Cardiogenic Shock
Patient / Population Intervention / Exposition Comparaison Critère de jugement
In 117 patients with rapidly deteriorating cardiogenic shock, immediate VA-ECMO did not change 30-day composite of death or escalation versus early-conservative strategy.
N
117
Schéma
Multicentre RCT, Czech Republic
Critère
Composite of death, resuscitated arrest or escalation at 30 days
Pertinence
3
Résultat63.8% vs 71.2% (HR 0.72; 95% CI 0.46–1.12; p=0.21). 1-y mortality 69% vs 68%.
Ostadal P, et al. Circulation. 2023;147(6):454-464. 10.1161/CIRCULATIONAHA.122.062949
Discussion et critique
Underpowered, but converged with ECLS-SHOCK to argue against routine early VA-ECMO.