{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T22:44:01Z","timestamp":1769121841993,"version":"3.49.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T00:00:00Z","timestamp":1571961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Summary<\/jats:title><jats:p>A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was \u2018Does concurrent use of intra-aortic balloon pump (IABP) improve survival in patients with cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA-ECMO)?\u2019. Altogether 472 papers were found using the reported search, of which 3 level 2 systematic reviews represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The reported comparative outcomes were mortality, weaning off extracorporeal membrane oxygenation (ECMO), vascular complications and non-vascular complications. One systematic review demonstrated significantly lower in-hospital mortality with concurrent use of IABP and VA-ECMO, while the other 2 studies showed no difference in mortality. One paper reported on the weaning success from ECMO and demonstrated significantly higher weaning success with concurrent IABP usage. Another paper reported on the complications and showed no differences in vascular and non-vascular complications. We conclude that there was no significant improvement in survival with the concurrent use of IABP and VA-ECMO for a cardiogenic shock as compared to the use of VA-ECMO alone. However, the concurrent use of IABP with VA-ECMO improved weaning success from VA-ECMO. The incidence of vascular and non-vascular complications was similar with or without IABP usage.<\/jats:p>","DOI":"10.1093\/icvts\/ivz256","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T19:24:53Z","timestamp":1569957893000},"source":"Crossref","is-referenced-by-count":2,"title":["Does concurrent use of intra-aortic balloon pumps improve survival in patients with cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation?"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6893-3294","authenticated-orcid":false,"given":"DaoBo","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1213-1633","authenticated-orcid":false,"given":"Victor","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kok Hooi","family":"Yap","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teing Ee","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Centre Singapore, Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"key":"2019102511592002400_ivz256-B1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S1569-9293(03)00191-9","article-title":"Towards evidence-based medicine in cardiothoracic surgery: best BETS","volume":"2","author":"Dunning","year":"2003","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2019102511592002400_ivz256-B2","first-page":"453","article-title":"Lack of survival benefit found with use of intraaortic balloon pump in extracorporeal membrane oxygenation: a pooled experience of 1517 patients","volume":"27","author":"Cheng","year":"2015","journal-title":"J Invasive Cardiol"},{"key":"2019102511592002400_ivz256-B3","doi-asserted-by":"crossref","first-page":"e006930.","DOI":"10.1161\/CIRCINTERVENTIONS.118.006930","article-title":"Concomitant intra-aortic balloon pump use in cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation","volume":"11","author":"Vallabhajosyula","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"2019102511592002400_ivz256-B4","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1093\/ejcts\/ezy304","article-title":"Effect of an intra-aortic balloon pump with venoarterial extracorporeal membrane oxygenation on mortality of patients with cardiogenic shock: a systematic review and meta-analysis","volume":"55","author":"Li","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"2019102511592002400_ivz256-B5","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1111\/aor.13397","article-title":"Short-term outcomes of intra-aortic balloon pump combined with venoarterial extracorporeal membrane oxygenation: a systematic review and meta-analysis","volume":"43","author":"Wang","year":"2019","journal-title":"Artif Organs"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivz256\/30302693\/ivz256.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivz256\/30302693\/ivz256.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T19:07:19Z","timestamp":1664564839000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article\/doi\/10.1093\/icvts\/ivz256\/5607338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,25]]},"references-count":5,"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivz256","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,25]]},"article-number":"ivz256"}}