{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:02:53Z","timestamp":1790694173271,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiogenic shock (CS) remains highly morbid despite significant advancements in management. A cornerstone of this management is Venoarterial Extracorporeal Membrane Oxygenation (VA ECMO). However, consensus surrounding the management of VA ECMO for CS, including the use of concomitant Left Ventricular Mechanical Unloading (LVMU), remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We thus conducted a national survey of practice patterns in the treatment of CS to characterize such variability. Surveys were distributed to physicians involved in management of VA ECMO across a variety of center types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Responses representing 67 institutions were analyzed. VA ECMO was used for a median of 10% of CS patients at each institution. Formal shock teams were present at 64.1% of centers and were associated with both higher annual VA ECMO volume (P\u27e80.01) and greater intra\u2010aortic balloon pump use prior to VA ECMO (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). LVMU was employed by 63.4% of centers, most commonly using Impella (93.3%), with unloading initiated at ECMO cannulation in a median of 30% of cases. Triggers and targets for LVMU varied widely, though pulmonary capillary wedge pressure was the most common endpoint.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight substantial heterogeneity in CS diagnosis, VA ECMO initiation, and LVMU strategies, underscoring the need for prospective studies to define optimal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.70188","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:02:34Z","timestamp":1783652554000},"page":"1443-1452","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["National Practice Patterns of\n                    <scp>VA ECMO<\/scp>\n                    and Left Ventricular Mechanical Unloading for Cardiogenic Shock"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3495-7033","authenticated-orcid":false,"given":"Dustin M.","family":"Anderson\u2010Bell","sequence":"first","affiliation":[{"name":"Division of Respiratory, Critical Care, and Occupational Pulmonary Medicine, Department of Medicine University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan M.","family":"Millar","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel R.","family":"Codden","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros","family":"Drakos","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine University of Utah Health  Salt Lake City Utah USA"},{"name":"Nora Eccles Harrison Cardiovascular Research and Training Institute (CVRTI) University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Selzman","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe R.","family":"Skidmore","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Carlson","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Welt","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Hanff","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4969-3795","authenticated-orcid":false,"given":"Hiroshi","family":"Kagawa","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Glotzbach","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Steely","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Haase","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"},{"name":"Department of Emergency Medicine University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Carr","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, and Occupational Pulmonary Medicine Intermountain Medical Center  Murray Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8879-2628","authenticated-orcid":false,"given":"Joseph E.","family":"Tonna","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery University of Utah Health  Salt Lake City Utah USA"},{"name":"Department of Emergency Medicine University of Utah Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs264"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.002359"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.04.049"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.18323"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2307227"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.062949"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuab060"},{"key":"e_1_2_12_9_1","volume-title":"Unload ECMO\u2014Left Ventricular Unloading to Improve Outcome in Cardiogenic Shock Patients on 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