{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T07:02:06Z","timestamp":1768546926277,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To analyze the results of extracorporeal life support (ECLS) for cardiogenic shock complicating acute myocardial infarction (AMI) in a single\u2010center experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiogenic shock is still a leading cause of death for AMI. Conventional management carries mortality rates exceeding 50%. ECLS may be considered as a bridge to decision in the setting of AMI complicated by cardiogenic shock not responsive to standard management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed an observational analysis of our local database. The primary end\u2010point was survival to hospital discharge. All variables were compared between survivors and nonsurvivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between January 2007 and December 2017, 56 patients were supported for cardiogenic shock complicating AMI. The mean age was 56.7 years and 89.3% were males. Baseline characteristics were comparable between both groups. Of the 50 primary percutaneous coronary interventions that were attempted, 44 (88.0%) were successful. Twenty\u2010three (41.1%) patients died during ECLS support. The complications\u2019 rate during ECLS support was comparable between both groups. Twenty\u2010eight (50%) patients were successfully weaned from ECLS after a mean support of 8.7 days. Eight (14.3%) patients eventually died after weaning before hospital discharge. Five (8.9%) patients could not be weaned from ECLS and were switched to a long\u2010term mechanical circulatory support. Overall survival to hospital discharge was 41.1% (<jats:italic>n<\/jats:italic> = 23). Eighteen (32.1%) patients were alive after a mean follow\u2010up of 38.0\u2009\u00b1\u200929.9 (range, 4.2\u201395.4) months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ECLS should be considered as a therapeutic solution in the management of AMI\u2010related cardiogenic shock with a satisfactory short\u2010 and long\u2010term survival.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28316","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T02:01:04Z","timestamp":1556676064000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Extracorporeal life support in the multidisciplinary management of cardiogenic shock complicating acute myocardial 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