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Updated: Sep 30, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Outcomes of a multidisciplinary mechanical circulatory support network in cardiogenic shock in a centre without heart
J Salamanca1, P Díez-Villanueva1, A Canabal2
1Servicio de Cardiología, Hospital Universitario de La Princesa, IIS-IP, CIBER-CV, Madrid, Spain.
Background And Objective:
Cardiogenic shock (CS) mortality remains very high and mechanical circulatory support (MCS) may provide an effective alternative of treatment in selected patients. The aim of this study is to analyse the results of a multidisciplinary team care program (including anaesthesiologists, cardiologists, cardiothoracic surgeons, and intensivists) in CS patients who required MCS, in a tertiary centre without a heart transplant (HT) program.
Methods:
Prospective observational study that sought to analyse the characteristics and survival to discharge predictors in a consecutive CS patients cohort treated with MCS.
Results:
A total of 48 patients were included. Mean age was 61 ± 14 years. Before MCS, 45.8% of the patients presented with cardiac arrest. A 54.2% 30-day survival and 45.8% overall survival to discharge, was found. Age and vasoactive-inotropic score were independent predictors of mortality.
Conclusions:
A multidisciplinary team-care based MCS program in CS patients is feasible and may achieve favourable results in a centre without HT program.
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