Guiding complexity in V-A ECMO weaning decisions for cardiogenic shock: Insights from a conjoint analysis

< 0.001). Vasoactive-inotropic score (VIS; 11.1%), VTI (9.7%) and the presence of peripheral and/or pulmonary edema (9.8%) had the highest relative importance to overall weaning decisions. Echocardiography was found to contribute more to weaning decisions in ECMO novices. Weaning decisions were predominantly driven by parameters reflecting cardiac recovery. Leveraging these insights may set the stage for a clinical decision-support tool to benchmark individual practice against expert consensus.

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Publication Details

Journal
Perfusion
Published
2026-04-16
DOI
https://doi.org/10.1177/02676591261443856
Primary Topic
Mechanical Circulatory Support Devices
Type
article
Field-Weighted Citation Impact
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article

Guiding complexity in V-A ECMO weaning decisions for cardiogenic shock: Insights from a conjoint analysis

N. A. BARRETT, J.A. van Til, R. Lorusso, Justyna Swol et al.
Perfusion
Mechanical Circulatory Support Devices
article

Guiding complexity in V-A ECMO weaning decisions for cardiogenic shock: Insights from a conjoint analysis

N. A. BARRETT, J.A. van Til, R. Lorusso, Justyna Swol, J. A. Hermens, C.L. Meuwese, D.W. Donker, D. Van Dijk, L. Van Loon
article en

Abstract

< 0.001). Vasoactive-inotropic score (VIS; 11.1%), VTI (9.7%) and the presence of peripheral and/or pulmonary edema (9.8%) had the highest relative importance to overall weaning decisions. Echocardiography was found to contribute more to weaning decisions in ECMO novices. Weaning decisions were predominantly driven by parameters reflecting cardiac recovery. Leveraging these insights may set the stage for a clinical decision-support tool to benchmark individual practice against expert consensus.

Perfusion
King's College London (GB), Utrecht University (NL), Guy's and St Thomas' NHS Foundation Trust (GB), Paracelsus Medical University (AT), Maastricht University Medical Centre (NL), Erasmus University Rotterdam (NL), University of Twente (NL)
Peace, Justice and strong institutions
Openalex Percentile: Top 26%
Mechanical Circulatory Support Devices
DOIOpen Access PDFOpenAlex
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