The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

LETTER TO THE EDITOR

Long-term prognosis after extracorporeal life support in refractory cardiogenic shock: results from a real-world cohort

EuroIntervention 2016;12:412-413. DOI: 10.4244/EIJV12I3A70

1. Division of Cardiology, Department of Medical Specialties, Geneva University Hospitals, Geneva, Switzerland; 2. Division of Cardiovascular Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland; 3. Intensive Care Unit, Departm


We read with great interest the manuscript of de Waha et al1. The authors have to be congratulated for performing clinical research in this very challenging subset of patients.

In a series of 83 (consecutive?) patients with refractory cardiogenic shock (CS) undergoing extracorporeal life support (ECLS), they describe an in-hospital mortality of 68.7%, while at 18 months the survival was 18.1%. While the poor prognosis of patients with refractory CS is undeniable, a few points deserve consideration to put these results into perspective. First, the limited number of patients and the variety of underlying pathologies may have masked subgroups which may have ...

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Long-term prognosis after extracorporeal life support in refractory cardiogenic shock – results from a real-world cohort