Research Article

Prophylactic Impella CP versus VA-ECMO in Patients Undergoing Complex High-Risk Indicated PCI

Table 3

Procedural characteristics and outcome.

Procedural Characteristics and OutcomeImpella CP (n = 27)VA-ECMO (n = 14)-value

Hemodynamic instability1 (3.7%)2 (14.3%)0.22
Periprocedural mortality0 (0%)0 (0%)1.00
Mortality at discharge2 (7.4%)2 (14.3%)0.48
Mortality at 30 days2 (7.4%)2 (21.4%)0.09
MACE at 30 days10 (37.0%)4 (21.4%)0.59
Bleeding complications (BARC ≥3)6 (22.2%)1 (7.1%)0.22
Grade 3A4 (14.8%)0 (0%)0.12
Grade 3B2 (7.4%)1 (0%)0.98
Access site related2 (7.4%)0 (0%)0.30
Limb ischemia0 (0%)0 (0%)1.00
Successful revascularization25 (92.6%)14 (100%)0.47
Renal function postprocedural (increase ≥1 stage above baseline)4 (14.8%)3 (21%)0.80
Hb prior to PCI (mmol/l)7.7 (5.3–9.9 ± 1.2)8.3 (6.9–9.8 ± 0.93)0.13
Hb post PCI (mmol/l)6.7 (5.2–8.6 ± 1.1)6.4 (5.1–7.5 ± 0.76)0.35
Transfer to ICU5 (18.5%)0 (0%)0.06
Mean stay in ICU (days)1 (1–1 ± 1)0 (0–0 ± 0)N/A
Mean stay in hospital (days)3 (1–23 ± 4.76)7 (2–28 ± 7.2)0.23

ICU = intensive care unit; MACE = major adverse cardiovascular events; PCI = percutaneous coronary intervention.