PMID- 33028139
OWN - NLM
STAT- MEDLINE
DCOM- 20210705
LR  - 20220422
IS  - 1724-6040 (Electronic)
IS  - 0391-3988 (Linking)
VI  - 44
IP  - 5
DP  - 2021 May
TI  - Multidisciplinary shock team is associated with improved outcomes in patients 
      undergoing ECPR.
PG  - 310-317
LID - 10.1177/0391398820962807 [doi]
AB  - OBJECTIVES: Veno-arterial extracorporeal membrane oxygenation (VA ECMO) has been 
      increasingly used in cardiopulmonary resuscitation (ECPR) in select patients. Few 
      centers have published their experience or outcomes with ECPR. The aim of our 
      study was to evaluate outcomes of adult patients in cardiac arrest placed on VA 
      ECMO in the catheterization laboratory. METHODS: We performed a retrospective 
      analysis of adult patients in refractory cardiac arrest who underwent ECPR at the 
      Minneapolis Heart Institute (MHI) at Abbott Northwestern Hospital from January 
      2012 to December 2017. Relevant data were obtained from electronic medical 
      records, including arrest to ECMO flow time, total ECMO support time, and 
      outcomes. RESULTS: Twenty-six adult patients underwent ECPR at the study site 
      during the defined time period. Seven patients (27%) sustained cardiac arrest out 
      of hospital, 19 patients arrested in-hospital with eight of those occurring in 
      the catheterization laboratory. Seventeen (65%) patients had initial rhythm of 
      ventricular fibrillation or tachycardia (VF/VT). All patients underwent 
      mechanical CPR with LUCAS device. Overall 30 day and 6 month survival was 69%. 
      Median time from arrest to ECMO flow was 46 mins (21,68) vs 61 mins (36,71) in 
      survivors and non-survivors, respectively. Sixteen of 18 survivors discharged 
      with a CPC score of 1 or 2. CONCLUSIONS: We demonstrate that adult patients in 
      cardiac arrest initiated on VA ECMO in the cardiac catheterization laboratory and 
      cared for by a multidisciplinary shock team in the critical care unit have 
      superior long-term survival and functionally favorable neurologic recovery when 
      compared to current literature.
FAU - Hryniewicz, Katarzyna
AU  - Hryniewicz K
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Hart, Michael
AU  - Hart M
AUID- ORCID: 0000-0001-8170-1500
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Raile, David
AU  - Raile D
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Wang, Yale
AU  - Wang Y
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Mooney, Michael
AU  - Mooney M
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Mudy, Karol
AU  - Mudy K
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Eckman, Peter M
AU  - Eckman PM
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Samara, Michael A
AU  - Samara MA
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Traverse, Jay
AU  - Traverse J
AUID- ORCID: 0000-0002-2108-0252
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Sun, Benjamin
AU  - Sun B
AD  - Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
FAU - Williams, David M
AU  - Williams DM
AD  - Abbott Northwestern Hospital, Minneapolis, MN, USA.
FAU - Wilson, Kelly J
AU  - Wilson KJ
AD  - Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.
FAU - Pavlovec, Matthew
AU  - Pavlovec M
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Kunz, Miranda
AU  - Kunz M
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Lyon, Danielle
AU  - Lyon D
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
FAU - Chavez, Ivan
AU  - Chavez I
AD  - Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20201008
PL  - United States
TA  - Int J Artif Organs
JT  - The International journal of artificial organs
JID - 7802649
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiopulmonary Resuscitation/*methods/mortality
MH  - Extracorporeal Membrane Oxygenation/*mortality
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - Out-of-Hospital Cardiac Arrest/mortality/*therapy
MH  - Prognosis
MH  - Recovery of Function
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Cardiac arrest
OT  - ECPR
OT  - VA ECMO
EDAT- 2020/10/09 06:00
MHDA- 2021/07/06 06:00
CRDT- 2020/10/08 05:23
PHST- 2020/10/09 06:00 [pubmed]
PHST- 2021/07/06 06:00 [medline]
PHST- 2020/10/08 05:23 [entrez]
AID - 10.1177/0391398820962807 [doi]
PST - ppublish
SO  - Int J Artif Organs. 2021 May;44(5):310-317. doi: 10.1177/0391398820962807. Epub 
      2020 Oct 8.