{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:18:58Z","timestamp":1778084338241,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Veno-arterial extracorporeal life support (V-A ECLS) can be utilized to transport cardiogenic shock patients from a regional to a tertiary center. Mobile extracorporeal membrane oxygenation (ECMO) may be life-saving for critically ill patients to bridge to transplant or a higher level of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is a retrospective review of adult patients placed on V-A ECMO for cardiogenic shock between 2018 and 2022. Indications and outcomes were compared between patients who were cannulated at referring hospitals and transported via ambulance and those who were placed on VA-ECLS at our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      547 patients with V-A ECMO placed due to cardiogenic shock were included. 94 patients were transported from referring hospitals, while 453 were placed on V-A ECMO at our institution. All were safely transported. In-hospital mortality was significantly higher in transport patients (49.1% vs 59.5%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .042). Transport patients had significantly higher rates of acute kidney injury requiring dialysis (27.8% vs 39.4%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value = .035) and cerebrovascular accident (6.2% vs 12.8%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value = .026). Kaplan-Meier curves showed 6-month survival was significantly lower in transport group (48.5% vs 37.3%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .021). Multivariate analysis demonstrated ECMO indication of AMI (OR 1.43,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value = .037), ECPR (OR 2.45,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value &lt;.001), and history of COPD (OR 1.55,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value = .014) were predictors of mortality within 12 months. Notably ECMO transport was not a significant risk factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients transported on V-A ECMO had higher in-hospital mortality, as well as lower 1-year survival. Careful patient selection is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591251331952","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:34:01Z","timestamp":1744695241000},"page":"33-41","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of emergency medical service transport on venoarterial extracorporeal life support in cardiogenic shock"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2945-4586","authenticated-orcid":false,"given":"Christine","family":"Yang","sequence":"first","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6494-126X","authenticated-orcid":false,"given":"Iris","family":"Feng","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Kurlansky","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Fidlow","sequence":"additional","affiliation":[{"name":"New York-Presbyterian Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana A","family":"Mullin","sequence":"additional","affiliation":[{"name":"New York-Presbyterian Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melana","family":"Yuzefpolskaya","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo C.","family":"Colombo","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Sayer","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nir","family":"Uriel","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Kaku","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Fried","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8263-1911","authenticated-orcid":false,"given":"Koji","family":"Takeda","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15602"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2016.00063"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.5090\/jcs.22.052"},{"key":"e_1_3_4_5_2","first-page":"E166","article-title":"Extra corporeal membrane oxygenation (ECMO) review of a lifesaving technology","volume":"7","author":"Makdisi G","year":"2015","unstructured":"Makdisi G, Wang I-W. Extra corporeal membrane oxygenation (ECMO) review of a lifesaving technology. J Thorac Dis 2015; 7: E166\u2013E176.","journal-title":"J Thorac Dis"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-03010-5"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.037"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.06.011"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201409-1634OC"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32008-0"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001448"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.03.036"},{"key":"e_1_3_4_13_2","article-title":"Concomitant use of VA-ECMO and Impella support for cardiogenic shock","author":"Modi SP","year":"2023","unstructured":"Modi SP, Hong Y, Sicke MM, et al. Concomitant use of VA-ECMO and Impella support for cardiogenic shock. medRxiv 2023.","journal-title":"medRxiv"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.20149"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251331952","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591251331952","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251331952","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:35:52Z","timestamp":1777656952000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591251331952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,15]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/02676591251331952"],"URL":"https:\/\/doi.org\/10.1177\/02676591251331952","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,15]]}}}