Table 2. Complication rates associated with IABP, Impella, and VA-ECMO from observational studies in cardiogenic shock.
Death represents either 30-day or in-hospital mortality, whichever was reported in the individual study. AKI, acute kidney injury; IABP, intra-aortic balloon pump; VA-ECMO, veno-arterial extracorporeal membrane oxygenation
IABP | Study | n | Bleeding (%) | Stroke (%) | AKI (%) | Limb
ischemia (%) |
Hemolysis (%) | Sepsis (%) | Death (%) |
---|---|---|---|---|---|---|---|---|---|
Tehrani et al. 10 | 55 | 9.1 | - | 23.6 | 7.3 | 0.0 | - | - | |
Alushi et al. 33 | 54 | 7.4 | 1.8 | - | 0.0 | - | - | 52.0 | |
Pieri et al. 34 | 36 | 36.1 | 8.3 | - | 2.8 | 0.0 | 36.0 | 6.0 | |
Ferguson et al. 35 | 16,909 | 2.4 | - | - | 2.9 | - | - | 21.2 | |
Cohen et al. 36 | 22,663 | 0.9 | - | - | 0.9 | - | - | 21.3 | |
Stone et al. 37 | 5,495 | 4.3 | - | - | 2.3 | - | - | 20.0 | |
Siriwardena et al. 38 | 645 | 2.9 | 2.3 | 16.6 | 2.6 | - | - | - | |
Cohen et al. 39 | 1,119 | 4.6 | 3.3 | - | - | - | - | - | |
Valente et al. 40 | 414 | 7.2 | - | - | 2.4 | - | - | - | |
Davidicius et al. 41 | 360 | 19.0 | - | - | 4.0 | - | - | - | |
Ternus et al. 42 | 682 | 0.6 | - | - | 1.3 | 0.0 | - | 18.5 | |
Schwartz et al. 43 | 50 | 24.0 | 4.0 | - | 6.0 | - | - | 34.0 | |
Mackenzie et al. 44 | 100 | 2.0 | - | - | 25.0 | - | - | 40.0 | |
Ozen et al. 45 | 3,135 | 1.4 | - | - | 12.3 | 0.7 | - | 25.9 | |
Arceo et al. 46 | 212 | 2.4 | - | - | 5.7 | - | - | 45.0 | |
Dick et al. 47 | 187 | - | - | - | 2.5 | - | - | 7.2 | |
Eltchaninoff et al. 48 | 240 | 3.3 | - | - | 12.9 | - | 0.4 | 24.0 | |
Meisel et al. 49 | 161 | 2.5 | - | - | 2.5 | - | - | 7.2 | |
Pahuja et al. 22, 23 | 86,796 | 19.4 | 3.1 | - | 0.9 | - | - | 25.8 | |
Weighted average | 12.9 | 3.1 | 17.2 | 1.5 | 0.6 | 5.0 | 24.2 | ||
Impella | n | Bleeding (%) | Stroke (%) | AKI (%) | Limb
ischemia (%) |
Hemolysis (%) | Sepsis (%) | Death (%) | |
Tehrani et al. 11 | 67 | 4.5 | - | 25.4 | 4.5 | 10.5 | - | - | |
Annamalai et al. 50 | 34 | 20.6 | 5.9 | 47.1 | 8.8 | 11.8 | - | 38.0 | |
Alushi et al. 33 | 62 | 14.5 | 1.6 | - | 8.0 | - | - | 67.0 | |
O’Neill et al. 51 | 154 | 20.1 | 1.9 | - | - | - | - | - | |
Jensen et al. 52 | 109 | 59.0 | 0.0 | - | 10.1 | 11.9 | - | - | |
Karatolios et al. 53 | 27 | 62.9 | - | - | 3.7 | - | - | - | |
Karami et al. 54 | 90 | 23.3 | 4.4 | - | 2.2 | 6.7 | - | 52.2 | |
Pieri et al. 34 | 28 | 35.7 | 7.1 | - | 18.0 | 32.0 | 29.0 | 21.0 | |
Basir et al. 55 | 171 | 7.0 | - | - | 4.1 | - | 28.0 | - | |
Ternus et al. 42 | 96 | 5.2 | - | - | 2.1 | 1.0 | - | 30.2 | |
Kaki et al. 56 | 17 | 5.9 | 5.9 | 41.0 | 5.9 | - | - | 70.6 | |
Lauten et al. 57 | 120 | 28.4 | 1.7 | 31.7 | - | 7.5 | - | 64.2 | |
Ouweneel et al. 58 | 112 | 25.0 | 3.6 | - | - | 7.1 | - | 65.0 | |
Badiye et al. 59 | 40 | - | - | 42.0 | - | 62.5 | - | 32.5 | |
Esposito et al. 60 | 23 | - | - | - | - | 30.4 | - | 57.0 | |
Schwartz et al. 43 | 7 | 57.0 | 0.0 | - | 0.0 | - | - | 14.0 | |
Garan et al. 12 | 31 | - | 12.9 | - | 12.9 | - | - | 45.2 | |
Lamarche et al. 61 | 29 | - | - | - | 0.0 | - | - | 38.0 | |
Anderson et al. 62 (RP) | 60 | 48.3 | - | - | - | 21.7 | - | 26.7 | |
Pahuja et al. 22,23 | 2,079 | 29.9 | 5.6 | - | 3.6 | - | - | 41.0 | |
Weighted average | 27.7 | 4.9 | 34.1 | 4.2 | 13.1 | 28.1 | 43.1 | ||
ECMO | n | Bleeding (%) | Stroke (%) | AKI (%) | Limb
ischemia (%) |
Hemolysis (%) | Sepsis (%) | Death (%) | |
Tehrani et al. 11 | 31 | 16.1 | - | 51.6 | 19.4 | 38.7 | - | - | |
Karami et al. 54 | 38 | 31.6 | 10.5 | - | 5.3 | 0.0 | - | 47.4 | |
Chamogeorgakis et al. 63 | 61 | - | - | - | 13.1 | - | - | 50.8 | |
Hoefer et al. 64 | 131 | 11.5 | 2.3 | - | 1.5 | - | - | - | |
Koerner et al. 65 | 184 | 22.3 | 4.9 | 16.3 | 4.3 | 9.2 | 18.5 | 61.0 | |
Lorusso et al. 66 | 4,522 | - | 5.4 | - | - | - | - | - | |
Garan et al. 12 | 20 | - | 25.0 | - | 10.0 | - | - | 45.0 | |
Kolla et al. 67 | 27 | 16.0 | 7.4 | 56.0 | - | - | - | 70.0 | |
Gulkarov et al. 68 | 71 | 4.1 | 14.1 | 45.1 | 19.7 | - | - | 53.5 | |
Yau et al. 69 | 154 | - | - | - | 22.0 | - | - | 59.7 | |
Avalli et al. 70 | 100 | - | - | - | 35.0 | - | - | 72.0 | |
Wong et al. 71 | 193 | 18 | 9.0 | - | 11.0 | - | - | 61.0 | |
Ranney et al. 72 | 80 | - | - | - | 21.3 | - | - | 60.0 | |
Foley et al. 73 | 43 | - | - | - | 16.3 | - | - | 79.0 | |
Lamb et al. 74 | 91 | - | - | - | 13.2 | - | - | 58.0 | |
Belle et al. 75 | 51 | 39.2 | 3.9 | - | 17.6 | 13.7 | 13.7 | 72.5 | |
Bermudez et al. 76 | 42 | 11.9 | 40.5 | 14.3 | - | - | 62.0 | ||
Kim et al. 77 | 27 | 14.2 | - | 37.0 | - | - | - | 41.7 | |
Esper et al. 78 | 18 | 94.4 | 5.6 | - | 22.2 | - | - | 33.0 | |
Loforte et al. 79 | 73 | 50.7 | 15.1 | 52.0 | 54.8 | - | 15.1 | 54.8 | |
Moraca et al. 80 | 26 | - | 7.7 | 34.6 | 7.7 | - | - | 35.0 | |
Pagani et al. 81 | 33 | - | 0.9 | 30.3 | - | - | - | 64.0 | |
Wu et al. 82 | 60 | - | - | 31.7 | 10.0 | - | - | 47.0 | |
Formica et al. 83 | 42 | 54.8 | 26.2 | 47.6 | 21.4 | - | - | 61.9 | |
Lamarche et al. 61 | 32 | - | - | - | 15.6 | - | - | 44.0 | |
Batra et al. 84 | 1,286 | 32.3 | - | 21.1 | - | - | - | 54.1 | |
Vallabhajosyula et al. 85 | 4,608 | 25.3 | 10.8 | - | - | - | - | 57.7 | |
Pahuja et al. 22, 23 | 444 | 54.2 | 9.7 | - | 7.7 | - | - | 55.9 | |
Weighted average | 28.2 | 8.2 | 25.6 | 14.3 | 11.8 | 16.9 | 57.2 |