PMID- 27283388
OWN - NLM
STAT- MEDLINE
DCOM- 20180202
LR  - 20180202
IS  - 1748-295X (Electronic)
IS  - 1748-2941 (Linking)
VI  - 17
IP  - 4
DP  - 2015 Dec
TI  - A local network for extracorporeal membrane oxygenation in refractory cardiogenic 
      shock.
PG  - 49-54
AB  - BACKGROUND: Veno-arterial extracorporeal membrane oxygenation (VA ECMO) 
      represents a therapeutic option in patients with refractory cardiogenic shock 
      (RCS). This strategy is limited to a restricted number of centres with 
      capabilities for implanting VA ECMO and management patients on this support. We 
      report on the initial experience of our ECMO referral centre for patients with 
      RCS. METHODS: We retrospectively analysed our ECMO data registry for RCS of 14 
      patients treated with VA ECMO, consecutively admitted to our intensive cardiac 
      care unit (ICCU), which is an ECMO referral centre. RESULTS: Six patients (6/14, 
      42%) came from peripheral centres, four were transferred to our ICCU directly. 
      During ICCU stay, four patients died (28.5%) due to multi-organ failure, seven 
      showed a complete recovery while one underwent cardiac transplantation. The 
      remaining two patients died while waiting for cardiac transplantation because of 
      cerebral haemorrhage. The 30-day overall mortality rate was 42.8%, all survivors 
      showed a good neurologic outcome. CONCLUSIONS: In our series, the survival rate 
      of RCS patients supported by VA ECMO is high (57%) and the transfer of RCS 
      patients is feasible and safe. Our data support that a network for RCS is needed 
      to transfer patients in well experienced centres even on ECMO support.
FAU - Dini, Carlotta Sorini
AU  - Dini CS
AD  - a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , 
      Florence , Italy.
FAU - Lazzeri, Chiara
AU  - Lazzeri C
AD  - a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , 
      Florence , Italy.
FAU - Chiostri, Marco
AU  - Chiostri M
AD  - a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , 
      Florence , Italy.
FAU - Gensini, Gian Franco
AU  - Gensini GF
AD  - a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , 
      Florence , Italy.
FAU - Valente, Serafina
AU  - Valente S
AD  - a Intensive Cardiac Care Unit, Azienda Ospedaliero-Universitaria Careggi , 
      Florence , Italy.
LA  - eng
PT  - Journal Article
DEP - 20160609
PL  - England
TA  - Acute Card Care
JT  - Acute cardiac care
JID - 101276603
SB  - IM
MH  - Adult
MH  - Aged
MH  - Extracorporeal Membrane Oxygenation/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Hospital Mortality/trends
MH  - Humans
MH  - Intensive Care Units
MH  - Italy/epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Registries
MH  - Retrospective Studies
MH  - Shock, Cardiogenic/mortality/*therapy
MH  - Survival Rate/trends
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Refractory cardiogenic shock
OT  - extra-corporeal membrane oxygenation
OT  - network
OT  - prognosis
EDAT- 2016/06/11 06:00
MHDA- 2016/06/11 06:01
CRDT- 2016/06/11 06:00
PHST- 2016/06/11 06:00 [pubmed]
PHST- 2016/06/11 06:01 [medline]
PHST- 2016/06/11 06:00 [entrez]
AID - 10.3109/17482941.2016.1174272 [doi]
PST - ppublish
SO  - Acute Card Care. 2015 Dec;17(4):49-54. doi: 10.3109/17482941.2016.1174272. Epub 
      2016 Jun 9.