{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:33:24Z","timestamp":1786977204825,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T00:00:00Z","timestamp":1567641600000},"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":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aims of this single\u2010center retrospective study were to characterize and determine predictors of 30\u2010day survival in a cohort of patients requiring venoarterial extracorporeal membrane oxygenation (VA\u2010ECMO) supported cardiopulmonary resuscitation (E\u2010CPR) in the cardiac catheterization laboratory (CCL) for cardiac arrest (CA) or refractory cardiogenic shock (CS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While safety in the CCL has improved, periprocedural mortality from CA remains high. The application of VA\u2010ECMO is an emerging form of resuscitation with a paucity of data evaluating its use in the CCL for CA or CS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consecutive patients aged 18\u2009years or older presenting to a single CCL from October 2010 to May 2018 who required E\u2010CPR for CA or refractory CS were included. The primary outcome of our study was overall survival 30\u2009days from VA\u2010ECMO initiation. Secondary outcomes included 1\u2010year survival, hospital length of stay, and ECMO related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010two patients with a mean age of 60\u2009\u00b1\u20099\u2009years, 63% male, were included. VA\u2010ECMO was initiated for CA in 39 patients (63%) and for CS in 23 patients (37%). The median ECMO duration was 48\u2009hr. Overall 30\u2010day survival was 47% (CA group 44% vs. CS group 52%;\n                      <jats:italic>p<\/jats:italic>\n                      = .414). One\u2010year survival was 44%. Initial serum creatinine (OR 1.18 per 10 \u03bcmol\/L increase;\n                      <jats:italic>p<\/jats:italic>\n                      = .016; AUC = 0.65) was the only multivariate predictor of 30\u2010day mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of VA\u2010ECMO in the CCL is feasible, demonstrating 47% 30\u2010day survival, largely persistent to 1 year, in a cohort that otherwise has extremely high mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.28492","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T05:43:56Z","timestamp":1567662236000},"page":"547-555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of extracorporeal membrane oxygenation support in the cardiac catheterization 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