{"id":"https://openalex.org/W4415565664","doi":"https://doi.org/10.1097/01.mat.0001171480.12130.9c","title":"46: Unmasking the Hidden Threat: The Role of VA ECMO in Managing Masked Obstructive Shock","display_name":"46: Unmasking the Hidden Threat: The Role of VA ECMO in Managing Masked Obstructive Shock","publication_year":2025,"publication_date":"2025-10-01","ids":{"openalex":"https://openalex.org/W4415565664","doi":"https://doi.org/10.1097/01.mat.0001171480.12130.9c"},"language":"en","primary_location":{"id":"doi:10.1097/01.mat.0001171480.12130.9c","doi":"https://doi.org/10.1097/01.mat.0001171480.12130.9c","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.mat.0001171480.12130.9c","pdf_url":null,"source":{"id":"https://openalex.org/S8999885","display_name":"ASAIO Journal","issn_l":"1058-2916","issn":["1058-2916","1538-943X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ASAIO Journal","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114029757","display_name":"Mohammad Shamsah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Mohammad Shamsah","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084509714","display_name":"Mahmoud Jaber","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Mahmoud Jaber","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116148015","display_name":"Maysa Elkheshen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Maysa ElKheshen","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054658000","display_name":"Ahmed Abdelbaky","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Ahmed Abdelbaky","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116148016","display_name":"Alaa Elhofy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Alaa Elhofy","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047041379","display_name":"Ahmed Gamal","orcid":"https://orcid.org/0009-0005-9063-3462","observed_orcids":["https://orcid.org/0009-0005-9063-3462"]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Ahmed Gamal","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]},{"author_position":"last","author":{"id":null,"display_name":"Saad Elsayed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802440902","display_name":"Farwaniya Hospital","ror":"https://ror.org/01akfrh45","country_code":"KW","type":"healthcare","lineage":["https://openalex.org/I2802440902"]},{"id":"https://openalex.org/I4210129520","display_name":"Ministry of Health","ror":"https://ror.org/036njfn21","country_code":"KW","type":"government","lineage":["https://openalex.org/I4210129520"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Saad Elsayed","raw_affiliation_strings":["Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health. Al Farwaniya Hospital, Al Farwaniya, Kuwait","institution_ids":["https://openalex.org/I2802440902","https://openalex.org/I4210129520"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"71","issue":"Supplement 6","first_page":"8","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.01080000028014183,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/venoarterial-ecmo","display_name":"venoarterial ECMO","score":0.8169999718666077},{"id":"https://openalex.org/keywords/pulmonary-embolism","display_name":"pulmonary embolism","score":0.7179999947547913},{"id":"https://openalex.org/keywords/deep-vein-thrombosis","display_name":"deep vein thrombosis","score":0.972000002861023},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.5400000214576721},{"id":"https://openalex.org/keywords/glioblastoma","display_name":"glioblastoma","score":0.7440000176429749},{"id":"https://openalex.org/keywords/catheter-directed-thrombolysis","display_name":"catheter-directed thrombolysis","score":0.8460000157356262},{"id":"https://openalex.org/keywords/left-ventricular-pressure","display_name":"left ventricular pressure","score":0.5899999737739563},{"id":"https://openalex.org/keywords/mechanical-circulatory-support","display_name":"mechanical circulatory support","score":0.6570000052452087},{"id":"https://openalex.org/keywords/cellulitis","display_name":"cellulitis","score":0.41999998688697815}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9104999899864197},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6656000018119812},{"id":"https://openalex.org/C48277249","wikidata":"https://www.wikidata.org/wiki/Q1406926","display_name":"Preload","level":3,"score":0.6258999705314636},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.5548999905586243},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5529999732971191},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.47360000014305115},{"id":"https://openalex.org/C155710745","wikidata":"https://www.wikidata.org/wiki/Q575278","display_name":"Inotrope","level":2,"score":0.4675999879837036},{"id":"https://openalex.org/C2776850375","wikidata":"https://www.wikidata.org/wiki/Q2477062","display_name":"Cardiogenic shock","level":3,"score":0.4296000003814697},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.4074000120162964},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.4049000144004822},{"id":"https://openalex.org/C2776371345","wikidata":"https://www.wikidata.org/wiki/Q5121708","display_name":"Circulatory collapse","level":2,"score":0.40049999952316284},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.3801000118255615},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.3391999900341034},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.33640000224113464},{"id":"https://openalex.org/C139940330","wikidata":"https://www.wikidata.org/wiki/Q596579","display_name":"Cardiac output","level":3,"score":0.32670000195503235},{"id":"https://openalex.org/C2775880387","wikidata":"https://www.wikidata.org/wiki/Q1036662","display_name":"Hypokinesia","level":2,"score":0.3255000114440918},{"id":"https://openalex.org/C80093799","wikidata":"https://www.wikidata.org/wiki/Q366155","display_name":"Intracardiac injection","level":2,"score":0.3165000081062317},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.31450000405311584},{"id":"https://openalex.org/C36036425","wikidata":"https://www.wikidata.org/wiki/Q7846262","display_name":"Troponin","level":3,"score":0.3098999857902527},{"id":"https://openalex.org/C72859922","wikidata":"https://www.wikidata.org/wiki/Q11068","display_name":"Circulatory system","level":2,"score":0.3059999942779541},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.29249998927116394},{"id":"https://openalex.org/C39133596","wikidata":"https://www.wikidata.org/wiki/Q5165683","display_name":"Contractility","level":2,"score":0.2915000021457672},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2865999937057495},{"id":"https://openalex.org/C2777289489","wikidata":"https://www.wikidata.org/wiki/Q1729126","display_name":"Cardioversion","level":3,"score":0.28200000524520874},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2815000116825104},{"id":"https://openalex.org/C123576724","wikidata":"https://www.wikidata.org/wiki/Q1299082","display_name":"Afterload","level":3,"score":0.2578999996185303},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.25040000677108765}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.mat.0001171480.12130.9c","doi":"https://doi.org/10.1097/01.mat.0001171480.12130.9c","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.mat.0001171480.12130.9c","pdf_url":null,"source":{"id":"https://openalex.org/S8999885","display_name":"ASAIO Journal","issn_l":"1058-2916","issn":["1058-2916","1538-943X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ASAIO Journal","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Circulatory":[1],"shock":[2,53,126,254],"with":[3,22,60,67,75,167,246,253],"it\u2019s":[4,26],"different":[5],"subtypes":[6],"is":[7,54,114],"a":[8,61,134,201,220],"life-threatening":[9],"condition":[10,280],"leading":[11],"to":[12,28,106,133,143,175,194],"organ":[13],"dysfunction,":[14],"However,":[15,199],"these":[16],"types":[17],"often":[18],"overlap":[19],"or":[20,49],"present":[21],"similar":[23],"clinical":[24,38],"symptoms,":[25],"challenging":[27],"promptly":[29],"identify":[30],"the":[31,108,116,223,277,283],"root":[32],"cause.":[33],"This":[34,113,123],"diagnostic":[35],"uncertainty":[36],"makes":[37],"decision-making":[39],"critical,":[40],"especially":[41],"in":[42,137,211,222,290],"complex":[43],"cases":[44],"where":[45],"multiple":[46,68],"shocks":[47],"coexist,":[48],"one":[50],"form":[51],"of":[52,64,111,178,203,235,262],"\u201cmasked\u201d.":[55],"Case":[56],"Description:":[57],"46-year-old":[58],"male":[59],"known":[62],"history":[63],"glioblastoma":[65],"treated":[66],"surgical":[69,187],"excisions":[70],"and":[71,79,88,94,104,127,148,160,171,213,215,226,258,269,272,287],"recent":[72],"radiotherapy,":[73],"presented":[74],"left":[76,83],"leg":[77,84],"cellulitis":[78],"shock.":[80],"investigation":[81],"confirmed":[82],"cellulitis,":[85],"extensive":[86],"DVT":[87],"massive":[89],"bilateral":[90],"PE.":[91,112],"His":[92],"troponin":[93],"BNP":[95],"were":[96,184],"elevated,":[97],"though":[98],"his":[99],"echocardiography":[100,192,231],"showed":[101,208,232],"biventricular":[102,197],"hypokinesia":[103],"failed":[105],"demonstrate":[107],"classical":[109],"signs":[110],"due":[115],"high":[117],"LV":[118],"pressure":[119],"disturbing":[120],"ventricular":[121,237],"interdependence.":[122],"combined":[124],"obstructive":[125],"sepsis":[128],"mediated":[129],"cardiac":[130],"depression":[131],"lead":[132],"drastic":[135],"drop":[136],"CO.":[138],"As":[139],"The":[140,239],"patient":[141],"continued":[142,193],"deteriorate":[144],"requiring":[145],"more":[146],"inotropes":[147],"vasopressors,":[149],"this":[150],"mixed":[151],"pathology":[152],"dilemma":[153],"thoughtfully":[154],"was":[155,165],"supported":[156],"by":[157,173],"VA":[158,263],"ECMO":[159],"IABP.":[161],"A":[162],"catheter-directed":[163],"thrombolysis":[164],"initiated":[166],"low-dose":[168],"infusion":[169],"(1-2mg/hr)":[170],"monitored":[172],"ROTEM":[174],"guide":[176],"goals":[177],"coagulation":[179],"mechanics.":[180],"Empirical":[181],"broad-spectrum":[182],"antibiotics":[183],"started":[185],"alongside":[186],"debridement.":[188],"Despite":[189],"initial":[190],"stabilization,":[191],"reveal":[195],"worsening":[196],"function.":[198],"over":[200],"course":[202],"5":[204,244],"days":[205,245],"both":[206,236],"ventricles":[207],"gradual":[209],"improvement":[210],"contractility":[212],"preload":[214],"after":[216],"load":[217],"mechanics":[218],"suggesting":[219],"reduction":[221],"thrombus":[224],"burden":[225],"lessening":[227],"myocardial":[228],"depression.":[229],"Repeated":[230],"progressive":[233],"recovery":[234],"functions.":[238],"patient\u2019s":[240,278],"hemodynamics":[241],"stabilized":[242],"within":[243],"no":[247],"bleeding":[248],"catastrophes.":[249],"Conclusions:":[250],"Managing":[251],"patients":[252],"demands":[255],"flexibility,":[256],"vigilance,":[257],"precision.":[259],"Timely":[260],"initiation":[261],"ECMO,":[264],"continuous":[265],"monitoring":[266],"through":[267],"imaging":[268],"hemodynamic":[270],"assessments,":[271],"customized":[273],"therapies":[274],"based":[275],"on":[276],"unique":[279],"can":[281],"make":[282],"difference":[284],"between":[285],"survival":[286],"adverse":[288],"outcomes":[289],"critical":[291],"care.":[292]},"counts_by_year":[],"updated_date":"2026-07-14T23:27:15.235271","created_date":"2025-10-28T00:00:00"}
