PMID- 29258529
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20181113
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 12
IP  - 1
DP  - 2017 Dec 19
TI  - Postcardiotomy VA-ECMO for refractory cardiogenic shock.
PG  - 116
LID - 10.1186/s13019-017-0674-5 [doi]
LID - 116
AB  - Postcardiotomy cardiogenic shock (PCCS) is a rare but catastrophic syndrome that 
      can occur following separation from cardiopulmonary bypass or at any time during 
      the immediate postoperative course. The management of PCCS varies between 
      clinicians, institutions and countries. The available evidence to guide this 
      practice is limited. In their systematic review and meta-analysis, Khorsandi and 
      colleagues report a synthesis of case-series pertinent to the use of venoarterial 
      extracorporeal membrane oxygenation (VA-ECMO) for PCCS. Whilst we acknowledge the 
      potential survival benefit for carefully selected patients for what is ordinarily 
      a condition with high mortality, we wish to comment on several aspects of the 
      study in the context of its application to clinical practice.
FAU - Charlesworth, Michael
AU  - Charlesworth M
AUID- ORCID: 0000-0001-7389-4955
AD  - Department of Cardiothoracic Anaesthesia, University Hospital South Manchester, 
      Southmoor Road, Manchester, M23 9LT, UK. mda05mc@gmail.com.
FAU - Venkateswaran, Rajamiyer
AU  - Venkateswaran R
AD  - Cardiac and Transplant Surgeon, University Hospital South Manchester, Manchester, 
      UK.
FAU - Barker, Julian M
AU  - Barker JM
AD  - Cardiothoracic Anaesthesia, Critical Care and ECMO, University Hospital South 
      Manchester, Manchester, UK.
FAU - Feddy, Lee
AU  - Feddy L
AD  - Cardiothoracic Anaesthesia, Critical Care and ECMO, University Hospital South 
      Manchester, Manchester, UK.
LA  - eng
PT  - Letter
DEP - 20171219
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
SB  - IM
MH  - Cardiac Surgical Procedures/*adverse effects
MH  - Extracorporeal Membrane Oxygenation/*methods
MH  - Humans
MH  - *Postoperative Complications
MH  - Shock, Cardiogenic/*therapy
PMC - PMC5764222
OTO - NOTNLM
OT  - Cardiogenic shock
OT  - Postcardiotomy
OT  - Systematic review
OT  - VA-EMO
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable as this is a 
      meta-analysis CONSENT FOR PUBLICATION: Not applicable as this is a meta-analysis 
      COMPETING INTERESTS: Professor Vipin Zamvar is the Editor-in-Chief of the Journal 
      of Cardiothoracic Surgery. PUBLISHER'S NOTE: Springer Nature remains neutral with 
      regard to jurisdictional claims in published maps and institutional affiliations.
EDAT- 2017/12/21 06:00
MHDA- 2018/07/17 06:00
PMCR- 2017/12/19
CRDT- 2017/12/21 06:00
PHST- 2017/09/01 00:00 [received]
PHST- 2017/11/21 00:00 [accepted]
PHST- 2017/12/21 06:00 [entrez]
PHST- 2017/12/21 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
PHST- 2017/12/19 00:00 [pmc-release]
AID - 10.1186/s13019-017-0674-5 [pii]
AID - 674 [pii]
AID - 10.1186/s13019-017-0674-5 [doi]
PST - epublish
SO  - J Cardiothorac Surg. 2017 Dec 19;12(1):116. doi: 10.1186/s13019-017-0674-5.