Biventricular Mechanical Support Combining Impella Microaxial Pump and Veno-arterial ECLS Rescues High-Risk Patients in Refractory Cardiogenic Shock

Objectives: Cardiogenic shock (CS) has a high morbidity and mortality particularly in case of refractoriness to standard therapy. Extracorporeal membrane oxygenation (ECMO) and Impella microaxial pump has revolutionized treatment strategies in severe cardiogenic shock with biventricular heart failure.