Effects of Additional Intra-aortic Balloon Counter-Pulsation Therapy to Cardiogenic Shock Patients Supported by Extra-corporeal Membranous Oxygenation.
ECMO is widely used for cardiogenic shock treatment. Since peripheral V-A ECMO will increase LV afterload and IABP therapy can counterbalance it, will IABP combined with ECMO improve the outcomes? A total of 529 patients (227 ECMO alone and 302 combined IABP plus ECMO) were included. Compared with ECMO alone, combined IABP and ECMO treatment did not improve outcomes. Limitation: this is an observational cohort study, large scale randomized controlled standardized trial is needed.
Ok , but if the ECMO works as a IAP,in a pulsatail mode does that improve the outcome.