{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:42:22Z","timestamp":1781656942182,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23HL148528"],"award-info":[{"award-number":["K23HL148528"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiomyopathies account for more than half of the cardiovascular disease during the peripartum period. In the extreme, patients may present with cardiogenic shock (CS) requiring mechanical <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/assisted-circulation\">circulatory support<\/jats:ext-link> (MCS). The aim of this study was to report our experience with CS requiring MCS in the peripartum period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present a single\u2010center retrospective analysis of all CS cases involving MCS during the peripartum period that occurred between 2012 and 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven cases were included. Median age was 33, median BMI was 30.4, and 73% underwent a caesarian\u2010section for delivery. CS presentation occurred in 36.4% during pregnancy and in 63.6% after delivery. Most patients were in Society for Cardiovascular Angiography &amp; Interventions (SCAI) Stage C shock and in 37% the suspected etiology was peripartum cardiomyopathy. MCS usage included intra\u2010aortic balloon pump (4), Impella microaxial blood pump (2), veno\u2010arterial extracorporeal membrane oxygenation (6), and temporary right ventricle assist devices (2), with some patients having multiple MCS devices. The rate of major complications was 36.4%. During a median follow\u2010up of 4.5\u2009years, 7 patients had sustained cardiac recovery (63.6%), 1 patient (9.1%) underwent cardiac transplantation, 2 patients (18.2%) received a durable LVAD, and 2 (18.2%) have died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MCS in severe CS cases during the peripartum period is rare and associated with favorable outcomes. High recovery rates suggest favoring first MCS\/LVAD over transplant.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.14870","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T13:08:48Z","timestamp":1727701728000},"page":"276-280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Mechanical circulatory support for cardiogenic shock during the peripartum period"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9253-2351","authenticated-orcid":false,"given":"Boaz","family":"Elad","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine Columbia University College of Physicians and Surgeons and NewYork\u2010Presbyterian Hospital  New York New York 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