{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:06:59Z","timestamp":1785575219302,"version":"3.56.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,26]],"date-time":"2021-12-26T00:00:00Z","timestamp":1640476800000},"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":["Artificial Organs"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Mechanical circulatory support (MCS) devices are increasingly used as a treatment option in resuscitation or in patients with cardiogenic shock (CS). Prophylactic implantation in high\u2010risk percutaneous coronary interventions (HRPCI) is another upcoming indication. The i\u2010cor ECG\u2010synchronized cardiac assist device combines the hemodynamic support of a veno\u2010arterial extracorporeal membrane oxygenation (VA\u2010ECMO) with the ability to generate a pulsatile flow and thus decreasing adverse effects of VA\u2010ECMO on myocardial function. Aim of this study was to obtain data concerning feasibility, safety and outcomes in both indications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 47 patients (34 HRPCI, 13 CS) were included in nine German centers and participated in this study. Demographic and clinical parameters, procedural as well as follow\u2010up data were prospectively recorded and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Device implantation and initiation of ECG\u2010synchronized cardiac assist was technical successful in all cases and no failures of the consoles or disposable parts were observed. Furthermore, intended percutaneous coronary interventions and successful weaning from cardiac assist was achieved in 97.1% of HRPCI patients. We observed a 30d\u2010survival of 94.1% in the HRPCI group and 69.2% in the CS group. Main complications in both groups were bleeding events (14.7% HRPCI, 23.1% CS) and critical limb ischemia (2.9% HRPCI, 38.5% CS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The i\u2010cor ECG\u2010synchronized cardiac assist device appears safe and feasible showing clinical outcomes comparable to existing data in the setting of high\u2010risk percutaneous coronary interventions and acute cardiogenic shock. Further prospective trials are warranted to identify optimal patient and interventional characteristics that will benefit most of this novel kind of mechanical circulatory support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.14147","type":"journal-article","created":{"date-parts":[[2021,12,26]],"date-time":"2021-12-26T10:23:30Z","timestamp":1640514210000},"page":"387-397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Efficacy and safety of ECG\u2010synchronized pulsatile extracorporeal membrane oxygenation in the clinical setting: The SynCor Trial"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-3005","authenticated-orcid":false,"given":"Ingo","family":"Voigt","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology Elisabeth Hospital  Essen Germany"},{"name":"Department of Acute and Emergency Medicine Elisabeth Hospital  Essen 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