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Updated: Feb 15, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Extracorporeal life support in cardiogenic shock: indications and management in current practice
C L Meuwese1, F Z Ramjankhan2, S A Braithwaite3
1Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands. C.L.Meuwese@umcutrecht.nl.
Abstract:
Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal management of the individual patient on extracorporeal support given its inherent complexity. In this review article we will discuss indications, daily clinical management and complications of VA-ECLS in cardiogenic shock refractory to conventional treatment strategies.
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