Cardiac arrest & resuscitation
Intra-aortic balloon pump in patients with extracorporeal cardiopulmonary resuscitation after cardiac arrest caused by acute coronary syndrome
Authors' conclusion
IABP use in patients with OHCA with ACS who received ECPR is not associated with 30-day survival.
Study context
- Population
- Patients with out-of-hospital cardiac arrest (OHCA) caused by acute coronary syndrome (ACS) who received extracorporeal cardiopulmonary resuscitation (ECPR)of 2,157 registered
- Participants
- 877 patients
- Comparison
- Intra-aortic balloon pump (IABP) vs no IABP
- IABPn = 702
- non-IABPn = 175reference
- Primary endpoint
- 30-day survival
- Follow-up
- 30 days
Methodological detailsretrospective, multicentre, 36 institutions in Japan
- Retrospective
- Multicentre
- 36 institutions in Japan
Primary result
As reported in the abstract
- No significant difference in 30-day survival with IABP use (multivariable logistic regression: OR 1.37, 95% CI 0.91-2.07)
- p = 0.13
Further findings
30-day survival, subgroups (no PCI; multivessel stenosis)
- 30-day survival associated with IABP use in patients without PCI and with multivessel coronary stenosis
Original publication
Intra-aortic balloon pump in patients with extracorporeal cardiopulmonary resuscitation after cardiac arrest caused by acute coronary syndrome. Resuscitation. Published 13 December 2023. doi:10.
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