Heart Failure Clinical Trial
Official title:
Veno-arterial Extracorporeal Membrane Oxygenation Support Prior to Left Ventricular Assist Device Implantation : Initial Patients Characteristics and 6 Month Follow-up, a Retrospective Study (2013-2017) (LVAD-ECMO)
Cardiogenic shock is an uncommun pathology with a high mortatily rate around 45%. Veno
arterial extracorporeal membrane oxygenation (VA-ECMO) is a temporary extracorporeal assist
device which restore an adequate blood flow when a circulatory failure occures. VA-ECMO main
indication is refractory cardiogenic shock whatever the etiology. Current medical care of
terminal cardiac failure includes use of long-term mechanical circulatory support devices
(MCSD) such as Left Ventricular Assist Device (LVAD). LVAD therapy may lead to heart
transplant (bridge to transplantation), to recovery (bridge to recovery) or to permanent
implantation (destination therapy). Few patients with refractory cardiogenic shock treated
with VA-ECMO may secondarily need a long term MCSD with LVAD.
LVAD long-term heart assist showed interesting survival rate when implantation occured (71%
after 2 years follow-up and 45% after 4 years follow-up) out of acute heart failure
situation. There are only few datas concerning LVAD implantion during refractory cardiogenic
shock, with a mortality between 20 to 50% in different studies.
In this way, in comparaison of current few datas on the subject of LVAD implantation under
VA-ECMO, the investigators (15 french-speacking centers) would retrospectively describe a
large population.
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