{"doi":"10.1016/j.xjon.2021.09.006","title":"Commentary: Can we REVERSE the effects of venous-arterial extracorporeal membrane oxygenation in cardiogenic shock?","abstract":"Cardiogenic shock is a major clinical issue, with high mortality and poor prognosis.1 The use of venous-arterial extracorporeal membrane oxygenation (VA-ECMO) has introduced a paradigm shift in treating patients; however, increased afterload may precipitate pulmonary congestion and impair myocardial recovery.2 A 2019 systematic review and meta-analysis investigating the optimal strategy and timing of left ventricular (LV) venting during VA-ECMO demonstrated LV venting improved weaning from ECMO (odds ratio, 0.62; 95% confidence interval, 0.47-0.83; P = .001), with early venting (<12 hours) significantly reducing short-term mortality (relative risk, 0.86; 95% confidence interval, 0.75-0.99; P = .03).","journal":"JTCVS Open","year":2021,"id":221528,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9557,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":334950,"name":"J. Hunter Mehaffey","orcid":"0000-0002-0612-7737","position":1,"is_corresponding":false},{"id":706441,"name":"Evan P. Rotar","orcid":"0000-0003-0601-8765","position":0,"is_corresponding":true}],"reference_count":6,"raw_metadata":null,"created_at":"2026-07-18T23:53:55.215284Z","pmid":"36004097","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}