{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:07:19Z","timestamp":1785575239537,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T00:00:00Z","timestamp":1730505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100020297","name":"Abiomed","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to assess the safety of coronary artery bypass grafting (CABG) with percutaneous ventricular assist device (PVAD) in patients with acute myocardial infarction complicated by cardiogenic shock (AMI\u2010CS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on 1198 patients with AMI\u2010CS from the J\u2010PVAD registry, who underwent PVAD support using Impella\u00ae (Abiomed Inc., Danvers, MA) and subsequent revascularization between February 2020 and December 2021. Patients were divided into two groups based on the method of coronary revascularization: percutaneous coronary intervention (PCI, <jats:italic>n<\/jats:italic>\u2009=\u20091084) and CABG (<jats:italic>n<\/jats:italic>\u2009=\u2009114). The study assessed short\u2010term all\u2010cause and cardiac\u2010related mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and conclusion<\/jats:title><jats:p>The CABG group exhibited significantly lower short\u2010term all\u2010cause mortality compared with the PCI group (30\u2010day: 26.2% vs. 39.9%, 90\u2010day: 45.5% vs. 58.4%, log\u2010rank <jats:italic>p<\/jats:italic>\u2009=\u20090.004). Short\u2010term cardiac\u2010related mortality was similar toward low in the CABG group compared with the PCI group (30\u2010day: 18.7% vs. 25.6%, 90\u2010day: 29.4% vs. 35.5%, log\u2010rank <jats:italic>p<\/jats:italic>\u2009=\u20090.084). Multivariable analysis using the Cox proportional hazard model did not identify revascularization strategy as a risk factor for both all\u2010cause mortality (Hazard ratio (HR): 0.743, 95% confidence intervals (CI): 0.457\u20131.208, <jats:italic>p<\/jats:italic>\u2009=\u20090.231) and cardiac\u2010related mortality (HR: 0.762, 95% CI: 0.390\u20131.490, <jats:italic>p<\/jats:italic>\u2009=\u20090.427). These results were not attenuated even in subgroup analyses separately comparing CABG alone and hybrid therapy with PCI after propensity score matching. Thus, CABG can be a treatment option with feasible short\u2010term outcomes in patients with AMI\u2010CS under PVAD support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.14901","type":"journal-article","created":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T07:13:58Z","timestamp":1730531638000},"page":"516-524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Safety and efficacy of surgical revascularization with percutaneous ventricular assist device for acute myocardial infarction complicated by cardiogenic shock: Japanese national registry study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6541-5472","authenticated-orcid":false,"given":"Masahiko","family":"Fujii","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery Heart and Vascular Institute, Funabashi Municipal Medical Center  Funabashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Okino","sequence":"additional","affiliation":[{"name":"Division of Cardiology Heart and Vascular Institute, Funabashi Municipal Medical Center  Funabashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Sakata","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Mogi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Heart and Vascular Institute, Funabashi Municipal Medical Center  Funabashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Heart and Vascular Institute, Funabashi Municipal Medical Center  Funabashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiharu","family":"Takahara","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Heart and Vascular Institute, Funabashi Municipal Medical Center  Funabashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"J\u2010PVAD Registry 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