Short‐term mechanical circulatory support in elderly patients

Background Age over 70 years seems to confer poor prognosis for patients under mechanical circulatory support (MCS). Advanced age is usually a relative contraindication. Our objective was to assess the impact of age on survival of patients with short‐term MCS. Methods Retrospective analysis of ≥70‐y...

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Bibliographic Details
Published in:Artificial organs 2022-05, Vol.46 (5), p.867-877
Main Authors: Alonso‐Fernandez‐Gatta, Marta, Merchan‐Gomez, Soraya, Toranzo‐Nieto, Ines, Gonzalez‐Cebrian, Miryam, Diego‐Nieto, Alejandro, Barrio, Alfredo, Martin‐Herrero, Francisco, Sanchez, Pedro L.
Format: Article
Language:English
Subjects:
Age
Aged
cardiogenic shock
Complications
Contraindications
Creatinine
elderly
Extracorporeal membrane oxygenation
Heart
Heart-Assist Devices - adverse effects
Hemodynamics
Humans
impella
Lactic acid
mechanical circulatory support
Medical prognosis
Mortality
Older people
Oxygenation
Patients
Percutaneous Coronary Intervention - adverse effects
Recovery
Retrospective Studies
Risk
Shock, Cardiogenic - etiology
Shock, Cardiogenic - surgery
Stroke Volume
Survival
Transplants & implants
Treatment Outcome
Vascular diseases
VA‐ECMO
Ventricle
Ventricular Function, Left
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Summary:Background Age over 70 years seems to confer poor prognosis for patients under mechanical circulatory support (MCS). Advanced age is usually a relative contraindication. Our objective was to assess the impact of age on survival of patients with short‐term MCS. Methods Retrospective analysis of ≥70‐year‐old patients supported with veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) or Impella CP® due to cardiogenic shock and other situations of hemodynamic instability in a referral hospital (elderly group), compared with younger patients (
ISSN:0160-564X
1525-1594
DOI:10.1111/aor.14117