{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T11:00:21Z","timestamp":1768042821099,"version":"3.49.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","onlinecjc.ca","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Cardiology"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.cjca.2025.02.009","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T22:25:38Z","timestamp":1739312738000},"page":"730-739","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Prediction Score for Successful Liberation from Temporary Mechanical Circulatory Support in Cardiogenic Shock Patients"],"prefix":"10.1016","volume":"41","author":[{"given":"Stefania","family":"Sacchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Venuti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca Maria","family":"Gobbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Gambaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Baldetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Calvo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Gramegna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorio","family":"Pazzanese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatrice","family":"Peveri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Cianfanelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Lino","family":"Cardillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio Luciano","family":"Ribichini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Ajello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Mara","family":"Scandroglio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.cjca.2025.02.009_bib1","article-title":"Cardiogenic Shock","volume":"8","author":"Vahdatpour","year":"2019","journal-title":"J\u00a0Am Heart Assoc"},{"key":"10.1016\/j.cjca.2025.02.009_bib2","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1002\/ejhf.1922","article-title":"Epidemiology, pathophysiology and contemporary management of cardiogenic shock \u2013 a position statement from the Heart Failure Association of the European Society of Cardiology","volume":"22","author":"Chioncel","year":"2020","journal-title":"Eur J Heart Fail"},{"key":"10.1016\/j.cjca.2025.02.009_bib3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/ccd.28329","volume":"94","author":"Baran","year":"2019","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.cjca.2025.02.009_bib4","first-page":"359","article-title":"Hemodynamics of cardiogenic shock","volume":"6","author":"Furer","year":"2017","journal-title":"Interv Cardiol Clin"},{"key":"10.1016\/j.cjca.2025.02.009_bib6","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1093\/ehjacc\/zuab015","article-title":"Joint EAPCI\/ACVC Expert consensus document on percutaneous ventricular assist devices","volume":"10","author":"Chieffo","year":"2021","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s11936-021-00903-8","article-title":"A\u00a0critical review of hemodynamically guided therapy for cardiogenic shock: old habits die hard","volume":"23","author":"Isseh","year":"2021","journal-title":"Curr Treat Options Cardiovasc Med"},{"key":"10.1016\/j.cjca.2025.02.009_bib9","doi-asserted-by":"crossref","first-page":"e05","DOI":"10.15420\/icr.2021.11","article-title":"A\u00a0review of the Impella devices","volume":"17","author":"Zein","year":"2022","journal-title":"Interv Cardiol"},{"key":"10.1016\/j.cjca.2025.02.009_bib10","doi-asserted-by":"crossref","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjca.2025.02.009_bib11","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/j.jacc.2020.12.054","article-title":"Managing patients with short-term mechanical circulatory support","volume":"77","author":"Balthazar","year":"2021","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.cjca.2025.02.009_bib12","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/j.jchf.2021.05.011","article-title":"A\u00a0pragmatic approach to weaning temporary mechanical circulatory support: a state-of-the-art review","volume":"9","author":"Randhawa","year":"2021","journal-title":"JACC Heart Fail"},{"key":"10.1016\/j.cjca.2025.02.009_bib13","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.jchf.2020.09.005","article-title":"A\u00a0standardized and comprehensive approach to the management of cardiogenic shock","volume":"8","author":"Tehrani","year":"2020","journal-title":"JACC Heart Fail"},{"key":"10.1016\/j.cjca.2025.02.009_bib14","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1016\/j.jacc.2018.12.084","article-title":"Standardized team-based care for cardiogenic shock","volume":"73","author":"Tehrani","year":"2019","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.cjca.2025.02.009_bib15","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1161\/CIR.0000000000001076","article-title":"Escalating and de-escalating temporary mechanical circulatory support in cardiogenic shock: a scientific statement from the American Heart Association","volume":"146","author":"Geller","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2025.02.009_bib16","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/SHK.0000000000001921","article-title":"A\u00a0comprehensive appraisal of risk prediction models for cardiogenic shock","volume":"57","author":"Bhat","year":"2022","journal-title":"Shock"},{"key":"10.1016\/j.cjca.2025.02.009_bib17","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.healun.2022.12.004","article-title":"The 2023 International Society for Heart and Lung Transplantation guidelines for mechanically circulatory support: a 10-year update","volume":"42","author":"Saeed","year":"2023","journal-title":"J\u00a0Heart Lung Transplant"},{"key":"10.1016\/j.cjca.2025.02.009_bib18","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3","article-title":"Index for rating diagnostic tests","volume":"3","author":"Youden","year":"1950","journal-title":"Cancer"},{"key":"10.1016\/j.cjca.2025.02.009_bib19","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1177\/03913988231193443","article-title":"Comparison of survival by vasoactive-inotropic score in patients receiving veno-arterial extracorporeal life support","volume":"46","author":"Weeks","year":"2023","journal-title":"Int J Artif Organs"},{"key":"10.1016\/j.cjca.2025.02.009_bib20","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/MAT.0000000000001344","article-title":"Extracorporeal cardiopulmonary resuscitation in adults. Interim guideline consensus statement from the Extracorporeal Life Support Organization","volume":"67","author":"Richardson","year":"2021","journal-title":"ASAIO J"},{"key":"10.1016\/j.cjca.2025.02.009_bib21","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1016\/j.jtcvs.2013.06.055","article-title":"Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography","volume":"146","author":"Cavarocchi","year":"2013","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.cjca.2025.02.009_bib22","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1177\/0267659118755888","article-title":"Weaning adult patients with cardiogenic shock on veno-arterial extracorporeal membrane oxygenation by pump-controlled retrograde trial off","volume":"33","author":"Ling","year":"2018","journal-title":"Perfusion"},{"key":"10.1016\/j.cjca.2025.02.009_bib23","first-page":"25","article-title":"Role of echocardiography in the management of veno-arterial extracorporeal membrane oxygenation patients","volume":"3","author":"Bailleul","year":"2019","journal-title":"J\u00a0Emerg Crit Care Med"},{"issue":"6","key":"10.1016\/j.cjca.2025.02.009_bib24","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/MAT.0b013e3182a4b32e","article-title":"Levosimendan may improve weaning outcomes in venoarterial ECMO patients","volume":"59","author":"Affronti","year":"2013","journal-title":"ASAIO J"},{"key":"10.1016\/j.cjca.2025.02.009_bib25","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCHEARTFAILURE.119.006486","article-title":"Optimal strategy and timing of left ventricular venting during veno-arterial extracorporeal life support for adults in cardiogenic shock: a systematic review and meta-analysis","volume":"12","author":"Al-Fares","year":"2019","journal-title":"Circ Heart Fail"},{"key":"10.1016\/j.cjca.2025.02.009_bib26","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.echo.2012.02.009","article-title":"Two-dimensional strain rate and Doppler tissue myocardial velocities: analysis by echocardiography of hemodynamic and functional changes of the failed left ventricle during different degrees of extracorporeal life support","volume":"25","author":"Aissaoui","year":"2012","journal-title":"J\u00a0Am Soc Echocardiogr"},{"key":"10.1016\/j.cjca.2025.02.009_bib27","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1053\/j.jvca.2014.12.011","article-title":"Timing and strategy for weaning from venoarterial ECMO are complex issues","volume":"29","author":"Pappalardo","year":"2015","journal-title":"J\u00a0Cardiothorac Vasc Anesth"},{"key":"10.1016\/j.cjca.2025.02.009_bib28","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.resuscitation.2013.04.009","article-title":"Pulse pressure as a prognostic marker in patients receiving extracorporeal life support","volume":"84","author":"Park","year":"2013","journal-title":"Resuscitation"},{"key":"10.1016\/j.cjca.2025.02.009_bib29","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1007\/s00134-016-4657-0","article-title":"Right left ventricular interdependence: a promising predictor of successful extracorporeal membrane oxygenation (ECMO) weaning after assistance for refractory cardiogenic shock","volume":"43","author":"Aissaoui","year":"2017","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.cjca.2025.02.009_bib30","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1177\/0267659119900124","article-title":"Predictors for unsuccessful weaning from venoarterial extracorporeal membrane oxygenation in patients undergoing coronary artery bypass grafting","volume":"35","author":"Shao","year":"2020","journal-title":"Perfusion"},{"key":"10.1016\/j.cjca.2025.02.009_bib31","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.echo.2017.09.004","article-title":"Three-dimensional echocardiography-derived right ventricular ejection fraction correlates with success of decannulation and prognosis in patients stabilized by venoarterial extracorporeal life support","volume":"31","author":"Huang","year":"2018","journal-title":"J\u00a0Am Soc Echocardiogr"},{"key":"10.1016\/j.cjca.2025.02.009_bib32","doi-asserted-by":"crossref","first-page":"524e7-14","DOI":"10.1016\/j.jcrc.2011.12.009","article-title":"Usefulness of cardiac biomarkers to predict cardiac recovery in patients on extracorporeal membrane oxygenation support for refractory cardiogenic shock","volume":"27","author":"Luyt","year":"2012","journal-title":"J\u00a0Crit Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib33","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1002\/ehf2.13097","article-title":"Predicting parameters for successful weaning from veno-arterial extracorporeal membrane oxygenation in cardiogenic shock","volume":"8","author":"Sawada","year":"2021","journal-title":"ESC Heart Fail"},{"key":"10.1016\/j.cjca.2025.02.009_bib34","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/2048872618805486","article-title":"Real-life use of left ventricular circulatory support with Impella in cardiogenic shock after acute myocardial infarction: 12 years AMC experience","volume":"8","author":"Ouweneel","year":"2019","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib35","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.athoracsur.2013.07.053","article-title":"The Impella device for acute mechanical circulatory support in patients in cardiogenic shock","volume":"97","author":"Lemaire","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.cjca.2025.02.009_bib36","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1186\/s13054-015-1073-8","article-title":"Management and outcome of patients supported with Impella 5.0 for refractory cardiogenic shock","volume":"19","author":"Gaudard","year":"2015","journal-title":"Crit Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib37","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1177\/2048872616633877","article-title":"Short-term mechanical circulatory support with the Impella 5.0 device for cardiogenic shock at La Pitie-Salpetriere","volume":"6","author":"Mastroianni","year":"2017","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib38","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2023.1171956","article-title":"Clinical outcomes and predictors of success with Impella weaning in cardiogenic shock: a single-center experience","volume":"10","author":"Matassini","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.cjca.2025.02.009_bib39","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1111\/aor.14197","article-title":"Hemodynamic assessment and risk classification for successful weaning of Impella in patients with cardiogenic shock","volume":"46","author":"Ikeda","year":"2022","journal-title":"Artif Organs"},{"key":"10.1016\/j.cjca.2025.02.009_bib40","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s13054-019-2368-y","article-title":"Mechanical circulatory support devices for cardiogenic shock: state of the art","volume":"23","year":"2019","journal-title":"Crit Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib41","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s11897-024-00676-8","article-title":"Cardiogenic shock: focus on non-cardiac biomarkers","volume":"21","author":"Beaini","year":"2024","journal-title":"Curr Heart Fail Rep"},{"key":"10.1016\/j.cjca.2025.02.009_bib42","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1093\/ehjacc\/zuac022","article-title":"Basic mechanisms in cardiogenic shock: part2-biomarkers and treatment options","volume":"11","author":"Krychtiuk","year":"2022","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"11","key":"10.1016\/j.cjca.2025.02.009_bib43","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s40560-023-00710-2","article-title":"Mechanical circulatory support in cardiogenic shock","volume":"19","author":"Nakata","year":"2023","journal-title":"J\u00a0Intensive Care"},{"key":"10.1016\/j.cjca.2025.02.009_bib44","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.healun.2023.09.014","article-title":"Heart failure related cardiogenic shock: an ISHLT consensus conference content summary","volume":"43","author":"Kanwar","year":"2024","journal-title":"J\u00a0Heart Lung Transplant"},{"key":"10.1016\/j.cjca.2025.02.009_bib45","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.cardfail.2019.03.004","article-title":"Trends in utilization and outcomes of pulmonary artery catheterization in heart failure with and without cardiogenic shock","volume":"25","author":"Hernandez","year":"2019","journal-title":"J\u00a0Card Fail"},{"issue":"11 suppl","key":"10.1016\/j.cjca.2025.02.009_bib46","doi-asserted-by":"crossref","first-page":"A1163","DOI":"10.1016\/S0735-1097(18)31704-2","article-title":"Contemporary outcomes of pulmonary artery catheter use in the management of cardiogenic shock due to acute myocardial infarction","volume":"71","author":"Ha","year":"2018","journal-title":"J\u00a0Am Coll Cardiol"}],"container-title":["Canadian Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X25001163?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X25001163?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T23:09:05Z","timestamp":1744931345000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0828282X25001163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S0828282X25001163"],"URL":"https:\/\/doi.org\/10.1016\/j.cjca.2025.02.009","relation":{},"ISSN":["0828-282X"],"issn-type":[{"value":"0828-282X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical Prediction Score for Successful Liberation from Temporary Mechanical Circulatory Support in Cardiogenic Shock Patients","name":"articletitle","label":"Article Title"},{"value":"Canadian Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cjca.2025.02.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}