| Title: |
Abstract 4364333: Circulatory Support Devices in ST-Elevation MI Cardiogenic Shock Patients: Real-World Outcomes from Nationwide Inpatient Sample |
| Authors: |
Trivedi, Jaimin; Gallo, Michele; Samson, Rohan; Fu, Sheng; Arora, Sonali; Moore, Stephanie; Pahwa, Siddharth; Slaughter, Mark |
| Source: |
Circulation ; volume 152, issue Suppl_3 ; ISSN 0009-7322 1524-4539 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2025 |
| Description: |
Background: Recent guidelines for ST-elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS) support the use of impeller percutaneous endovascular devices (PED), in addition to percutaneous coronary intervention (PCI). Other mechanical circulatory support (MCS) devices, such as the intra-aortic balloon pump (IABP) or extracorporeal membrane oxygenation (ECMO), have also been used in some cases. We aim to evaluate the real-world use of these MCS devices in STEMI-CS patients. Methods: This study utilized Nationwide Inpatient Sample (NIS) data from 2017 to 2022, the largest publicly available inpatient database in the United States. We used ICD-10 codes to identify STEMI-CS patients and types of MCS devices used, stratifying them into No device (n=8531), IABP (n=4804), and PED (n=3123) groups. The STEMI-CS patients not receiving PCI were excluded. ECMO patients were also excluded (n=407). To alleviate the differences identified on initial analysis, a propensity matching was done between No Device, IABP, and PED groups (ECMOs excluded, being too small). In-hospital mortality and charges were compared as outcomes post-matching. Results: There were 16,458 STEMI-CS patients included in the final cohort. The patients in PED group were more likely male (74% v. 71% (IABP) v. 65% (No device), p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1161/circ.152.suppl_3.4364333 |
| Availability: |
https://doi.org/10.1161/circ.152.suppl_3.4364333 |
| Accession Number: |
edsbas.1E823233 |
| Database: |
BASE |