Mechanical Circulatory Support in Cardiogenic Shock: A Contemporary Head-to-Head Comparison

March 28, 2026 No Comments

This mini review compares the three main temporary mechanical circulatory support options for cardiogenic shock: Impella, venoarterial extracorporeal life support (VA-ECLS), and intra-aortic balloon pump (IABP). It explains each device’s physiology, indications, risks, and evidence base, then proposes practical algorithms for selection, escalation, de-escalation, and anticoagulation to help clinicians tailor support to shock severity and cause.

Safer Bypass: Oxygenator Design and Delirium Risk in CABG

Oxygenator-Related Gaseous Microemboli and Postoperative Delirium After On-Pump Coronary Artery Bypass Grafting: A Prospective Cohort Study

March 28, 2026 No Comments

This prospective cohort study examined 102 adults undergoing first-time isolated on-pump CABG and compared three membrane oxygenators: Capiox FX25, Inspire 8, and Inspire 8F. The Capiox FX25 showed the lowest arterial gaseous microemboli volume and the best volume reduction, while postoperative delirium occurred in 29.4% overall and was least frequent with Capiox FX25. The findings suggest oxygenator choice may influence neurocognitive outcomes after cardiac surgery.