Randomized Trialhigh evidence
Micro-axial flow pump vs veno-arterial extracorporeal membrane oxygenation for high-risk percutaneous coronary interventions: a randomized trial.
European heart journal·July 29, 2026·PMID 42521444
Why it mattersSelecting optimal mechanical circulatory support for high-risk PCI in patients with severe left ventricular dysfunction remains a clinical challenge. This trial provides head-to-head evidence that a micro-axial flow pump is non-inferior to VA-ECMO for 30-day outcomes, with potential advantages in hospital stay and device safety, informing device selection in the cardiac catheterization laboratory.
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