Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis

Luigi Cappannoli; Mattia Galli; Andrea Zito; Attilio Restivo; Giuseppe Princi; Renzo Laborante; Rocco Vergallo; Enrico Romagnoli; Antonio Maria Leone; Cristina Aurigemma; Massimo Massetti; Tommaso Sanna; Carlo Trani; Francesco Burzotta; Gianluigi Savarese; Filippo Crea; Domenico D'Amario

doi:10.1093/ehjqcco/qcac076

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis

Luigi Cappannoli
, Mattia Galli
, Andrea Zito
, Attilio Restivo
, Giuseppe Princi
, Renzo Laborante
, Rocco Vergallo
, Enrico Romagnoli
, Antonio Maria Leone
, Cristina Aurigemma
, Massimo Massetti
, Tommaso Sanna
, Carlo Trani
, Francesco Burzotta
, Gianluigi Savarese
, Filippo Crea^*
, Domenico D'Amario

^*Corresponding author

Karolinska Institutet

Research output: Contribution to journal › Article

Abstract

The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for the treatment of cardiogenic shock (CS) may result in left ventricle overload and distension. Percutaneous microaxial flow pump Impella in addition to VA-ECMO (ECPELLA) is an emerging option to overcome these collateral effects. Aim of this study is to assess whether the addition of Impella to VA-ECMO is an effective and safe unloading strategy.

Original language	English
Pages (from-to)	N/A-N/A
Journal	EUROPEAN HEART JOURNAL. QUALITY OF CARE & CLINICAL OUTCOMES (ONLINE)
Issue number	12 nov
DOIs	https://doi.org/10.1093/ehjqcco/qcac076
Publication status	Published - 2022

All Science Journal Classification (ASJC) codes

Health Policy
Cardiology and Cardiovascular Medicine

Keywords

ECMO
ECPELLA
Impella
PVAD
Unloading
Venting
cardiogenic shock

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10.1093/ehjqcco/qcac076

Cite this

Cappannoli, L., Galli, M., Zito, A., Restivo, A., Princi, G., Laborante, R., Vergallo, R., Romagnoli, E., Leone, A. M., Aurigemma, C., Massetti, M., Sanna, T., Trani, C., Burzotta, F., Savarese, G., Crea, F., & D'Amario, D. (2022). Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis. EUROPEAN HEART JOURNAL. QUALITY OF CARE & CLINICAL OUTCOMES (ONLINE), (12 nov), N/A-N/A. https://doi.org/10.1093/ehjqcco/qcac076

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title = "Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis",

abstract = "The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for the treatment of cardiogenic shock (CS) may result in left ventricle overload and distension. Percutaneous microaxial flow pump Impella in addition to VA-ECMO (ECPELLA) is an emerging option to overcome these collateral effects. Aim of this study is to assess whether the addition of Impella to VA-ECMO is an effective and safe unloading strategy.",

keywords = "ECMO, ECPELLA, Impella, PVAD, Unloading, Venting, cardiogenic shock, ECMO, ECPELLA, Impella, PVAD, Unloading, Venting, cardiogenic shock",

author = "Luigi Cappannoli and Mattia Galli and Andrea Zito and Attilio Restivo and Giuseppe Princi and Renzo Laborante and Rocco Vergallo and Enrico Romagnoli and Leone, \{Antonio Maria\} and Cristina Aurigemma and Massimo Massetti and Tommaso Sanna and Carlo Trani and Francesco Burzotta and Gianluigi Savarese and Filippo Crea and Domenico D'Amario",

year = "2022",

doi = "10.1093/ehjqcco/qcac076",

language = "English",

pages = "N/A--N/A",

journal = "EUROPEAN HEART JOURNAL. QUALITY OF CARE \& CLINICAL OUTCOMES (ONLINE)",

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publisher = "Oxford: Oxford University Press",

number = "12 nov",

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Cappannoli, L, Galli, M, Zito, A, Restivo, A, Princi, G, Laborante, R, Vergallo, R, Romagnoli, E, Leone, AM, Aurigemma, C, Massetti, M , Sanna, T , Trani, C , Burzotta, F, Savarese, G, Crea, F & D'Amario, D 2022, 'Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis', EUROPEAN HEART JOURNAL. QUALITY OF CARE & CLINICAL OUTCOMES (ONLINE), no. 12 nov, pp. N/A-N/A. https://doi.org/10.1093/ehjqcco/qcac076

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AU - Cappannoli, Luigi

AU - Galli, Mattia

AU - Zito, Andrea

AU - Restivo, Attilio

AU - Princi, Giuseppe

AU - Laborante, Renzo

AU - Vergallo, Rocco

AU - Romagnoli, Enrico

AU - Leone, Antonio Maria

AU - Aurigemma, Cristina

AU - Massetti, Massimo

AU - Sanna, Tommaso

AU - Trani, Carlo

AU - Burzotta, Francesco

AU - Savarese, Gianluigi

AU - Crea, Filippo

AU - D'Amario, Domenico

PY - 2022

Y1 - 2022

N2 - The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for the treatment of cardiogenic shock (CS) may result in left ventricle overload and distension. Percutaneous microaxial flow pump Impella in addition to VA-ECMO (ECPELLA) is an emerging option to overcome these collateral effects. Aim of this study is to assess whether the addition of Impella to VA-ECMO is an effective and safe unloading strategy.

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KW - ECMO

KW - ECPELLA

KW - Impella

KW - PVAD

KW - Unloading

KW - Venting

KW - cardiogenic shock

KW - ECMO

KW - ECPELLA

KW - Impella

KW - PVAD

KW - Unloading

KW - Venting

KW - cardiogenic shock

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U2 - 10.1093/ehjqcco/qcac076

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IS - 12 nov

ER -

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) with vs without left ventricular unloading by Impella: a systematic review and meta-analysis

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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