Extracorporeal Life Support in Cardiogenic Shock

Inclusion Criteria: * Cardiogenic shock complicating AMI (STEMI or NSTEMI) plus obligatory: * Planned revascularization (PCI or alternatively CABG) * Systolic blood pressure \<90 mmHg \>30 min or catecholamines required to maintain pressure \>90 mmHg during Systole * Signs of impaired organ perfusion with at least one of the following criteria a) Altered mental Status, b) Cold, clammy skin and extremities, c) Oliguria with urine output \<30 ml/h * Arterial lactate \>3 mmol/l * Informed consent Exclusion Criteria: * Resuscitation \>45 minutes * Mechanical cause of cardiogenic shock * Onset of shock \>12 h * Severe peripheral artery disease with impossibility to insert ECLS cannulae * Age \<18 years or age \>75 years * Shock of other cause (bradycardia, sepsis, hypovolemia, etc.) * Other severe concomitant disease with limited life expectancy \<6 months * Pregnancy * Participation in another trial