key: cord-1032324-owf3j2yp
authors: Heo, Jung Ho
title: Do ECMO First Even in the Desperate Situation
date: 2021-05-20
journal: Korean Circ J
DOI: 10.4070/kcj.2021.0152
sha: 9ccc9f774df0898d71d10585f27fecf377d3898d
doc_id: 1032324
cord_uid: owf3j2yp

nan

The contents of the report are the author's own views and do not necessarily reflect the views of the Korean Circulation Journal. morbidity such as ECMO patients in CS, where patients are suffering from a rapidly shifting, severe disease. In these situations, observational studies or registry data give us glimpse of decision making for ECMO initiation for AMI complicated by CS with OHCA. 8)9) In this issue of Korean Circulation Journal, Kim et al. 10) showed early ECMO before percutaneous coronary intervention (PCI) significantly reduced both in-hospital and 30-day mortality compared to ECMO after PCI. They also showed there was a tendency toward more favorable neurologic outcomes at discharge in patients who received ECMO before PCI than those who received ECMO after PCI. These data support the effective and important role of early ECMO in CS AMI OHCA setting. These data give us another important point to solve. Even though the early initiation of ECMO in CS AMI OHCA, survival rates are still quite low. To make consistent and solid ECMO in the desperate situation, team-based approach is essential to decrease high mortality rate in CS AMI OHCA. To make step by step ECMO implantation in designated spaces is also critical to decrease complication of ECMO and high mortality in desperate patients. If it is difficult to do randomized trials in CS AMI OHCA, more effort is needed to get the detailed information from the good registry.

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