Impact of a VA–ECMO in Combination with an Extracorporeal Cytokine Hemadsorption System in Critically Ill Patients with Cardiogenic Shock–Design and Rationale of the ECMOsorb Trial Article Swipe
Franz Haertel
,
Thomas Lehmann
,
Tabitha Heller
,
Michael Fritzenwanger
,
Ruediger Pfeifer
,
Daniel Kretzschmar
,
Sylvia Otto
,
Jürgen Bogoviku
,
Julian Westphal
,
Christiane Bruening
,
Thomas Gecks
,
Mirko Kaluza
,
S Moebius-Winkler
,
P. Christian Schulze
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12154893
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12154893
Background: Cardiogenic shock and arrest present as critical, life-threatening emergencies characterized by severely compromised tissue perfusion and inadequate oxygen supply. Veno–arterial extracorporeal membrane oxygenation (VA–ECMO) serves as a mechanical support system for patients suffering shock refractory to conventional resuscitation. Despite the utilization of VA–ECMO, clinical deterioration due to systemic inflammatory response syndrome (SIRS) resulting from the underlying shock and exposure of blood cells to the artificial surfaces of the ECMO circuit may occur. To address this issue, cytokine adsorbers offer a valuable solution by eliminating blood proteins, thereby controlling SIRS and potentially improving hemodynamics. Consequently, a prospective, randomized, blinded clinical trial will be carried out with ECMOsorb. Methods and Study Design: ECMOsorb is a single-center, controlled, randomized, triple-blinded trial that will compare the hemodynamic effects of treatment with a VA–ECMO in combination with a cytokine adsorber (CytoSorb®, intervention) to treatment with VA–ECMO only (control) in patients with cardiogenic shock (with or without prior cardiopulmonary resuscitation (CPR)) requiring extracorporeal, hemodynamic support. Fifty-four patients will be randomized in a 1:1 fashion to the intervention or control group over a 36-month period. The primary endpoint of ECMOsorb is the improvement of the Inotropic Score (IS) 72 h after the intervention. Prognostic indicators, including mortality rates, hemodynamic parameters, laboratory findings, echocardiographic assessments, quality of life measurements, and clinical parameters, will serve as secondary outcome measures. The safety evaluation encompasses endpoints such as air embolisms, allergic reactions, peripheral ischemic complications, vascular complications, bleeding incidents, and stroke occurrences. Conclusions: The ECMOsorb trial seeks to assess the efficacy of a cytokine adsorber (CytoSorb®; CytoSorbents Europe GmbH, Berlin, Germany) in reducing SIRS and improving hemodynamics in patients with cardiogenic shock who are receiving VA–ECMO. We hypothesize that a reduction in cytokine levels can lead to faster weaning from inotropic and mechanical circulatory support, and ultimately to improved recovery.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12154893
- https://www.mdpi.com/2077-0383/12/15/4893/pdf?version=1690340871
- OA Status
- gold
- Cited By
- 5
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4385278014
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4385278014Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm12154893Digital Object Identifier
- Title
-
Impact of a VA–ECMO in Combination with an Extracorporeal Cytokine Hemadsorption System in Critically Ill Patients with Cardiogenic Shock–Design and Rationale of the ECMOsorb TrialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-07-25Full publication date if available
- Authors
-
Franz Haertel, Thomas Lehmann, Tabitha Heller, Michael Fritzenwanger, Ruediger Pfeifer, Daniel Kretzschmar, Sylvia Otto, Jürgen Bogoviku, Julian Westphal, Christiane Bruening, Thomas Gecks, Mirko Kaluza, S Moebius-Winkler, P. Christian SchulzeList of authors in order
- Landing page
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https://doi.org/10.3390/jcm12154893Publisher landing page
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https://www.mdpi.com/2077-0383/12/15/4893/pdf?version=1690340871Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/12/15/4893/pdf?version=1690340871Direct OA link when available
- Concepts
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Medicine, Cardiogenic shock, Critically ill, Extracorporeal membrane oxygenation, Extracorporeal, Intensive care medicine, Anesthesia, Internal medicine, Myocardial infarctionTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 2, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.CytoSorbents | 256 |
| abstract_inverted_index.assessments, | 207 |
| abstract_inverted_index.conventional | 37 |
| abstract_inverted_index.hemodynamics | 266 |
| abstract_inverted_index.inflammatory | 49 |
| abstract_inverted_index.intervention | 171 |
| abstract_inverted_index.occurrences. | 241 |
| abstract_inverted_index.prospective, | 96 |
| abstract_inverted_index.Consequently, | 94 |
| abstract_inverted_index.characterized | 10 |
| abstract_inverted_index.deterioration | 45 |
| abstract_inverted_index.hemodynamics. | 93 |
| abstract_inverted_index.intervention) | 137 |
| abstract_inverted_index.intervention. | 196 |
| abstract_inverted_index.measurements, | 211 |
| abstract_inverted_index.resuscitation | 154 |
| abstract_inverted_index.complications, | 234, 236 |
| abstract_inverted_index.extracorporeal | 21 |
| abstract_inverted_index.resuscitation. | 38 |
| abstract_inverted_index.single-center, | 114 |
| abstract_inverted_index.triple-blinded | 117 |
| abstract_inverted_index.Veno–arterial | 20 |
| abstract_inverted_index.cardiopulmonary | 153 |
| abstract_inverted_index.extracorporeal, | 157 |
| abstract_inverted_index.life-threatening | 8 |
| abstract_inverted_index.echocardiographic | 206 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5040614261 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 14 |
| corresponding_institution_ids | https://openalex.org/I4210134900 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.65139539 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |