PMID- 31652322
OWN - NLM
STAT- MEDLINE
DCOM- 20200824
LR  - 20200824
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 30
IP  - 2
DP  - 2020 Feb 1
TI  - Does concurrent use of intra-aortic balloon pumps improve survival in patients 
      with cardiogenic shock requiring venoarterial extracorporeal membrane 
      oxygenation?
PG  - 312-315
LID - 10.1093/icvts/ivz256 [doi]
AB  - A best evidence topic in cardiac surgery was written according to a structured 
      protocol. The question addressed was 'Does concurrent use of intra-aortic balloon 
      pump (IABP) improve survival in patients with cardiogenic shock requiring 
      venoarterial extracorporeal membrane oxygenation (VA-ECMO)?'. Altogether 472 
      papers were found using the reported search, of which 3 level 2 systematic 
      reviews represented the best evidence to answer the clinical question. The 
      authors, journal, date and country of publication, patient group studied, study 
      type, relevant outcomes and results of these papers are tabulated. The reported 
      comparative outcomes were mortality, weaning off extracorporeal membrane 
      oxygenation (ECMO), vascular complications and non-vascular complications. One 
      systematic review demonstrated significantly lower in-hospital mortality with 
      concurrent use of IABP and VA-ECMO, while the other 2 studies showed no 
      difference in mortality. One paper reported on the weaning success from ECMO and 
      demonstrated significantly higher weaning success with concurrent IABP usage. 
      Another paper reported on the complications and showed no differences in vascular 
      and non-vascular complications. We conclude that there was no significant 
      improvement in survival with the concurrent use of IABP and VA-ECMO for a 
      cardiogenic shock as compared to the use of VA-ECMO alone. However, the 
      concurrent use of IABP with VA-ECMO improved weaning success from VA-ECMO. The 
      incidence of vascular and non-vascular complications was similar with or without 
      IABP usage.
CI  - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the 
      European Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Wang, DaoBo
AU  - Wang D
AD  - Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, 
      Singapore.
FAU - Chao, Victor
AU  - Chao V
AD  - Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, 
      Singapore.
FAU - Yap, Kok Hooi
AU  - Yap KH
AD  - Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, 
      Singapore.
FAU - Tan, Teing Ee
AU  - Tan TE
AD  - Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, 
      Singapore.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Cardiac Surgical Procedures/*methods
MH  - Extracorporeal Membrane Oxygenation/*methods
MH  - Global Health
MH  - *Heart-Assist Devices
MH  - Hospital Mortality
MH  - Humans
MH  - Incidence
MH  - Intra-Aortic Balloon Pumping/*methods
MH  - Shock, Cardiogenic/epidemiology/*surgery
MH  - Survival Rate/trends
OTO - NOTNLM
OT  - Cardiogenic shock
OT  - Extracorporeal membrane oxygenation
OT  - Intra-aortic balloon pump
OT  - Mortality
OT  - Survival
EDAT- 2019/10/28 06:00
MHDA- 2020/08/25 06:00
CRDT- 2019/10/26 06:00
PHST- 2019/03/08 00:00 [received]
PHST- 2019/09/10 00:00 [revised]
PHST- 2019/09/29 00:00 [accepted]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/08/25 06:00 [medline]
PHST- 2019/10/26 06:00 [entrez]
AID - 5607338 [pii]
AID - 10.1093/icvts/ivz256 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2020 Feb 1;30(2):312-315. doi: 
      10.1093/icvts/ivz256.