PMID- 33834656
OWN - NLM
STAT- MEDLINE
DCOM- 20210412
LR  - 20220317
IS  - 2184-9927 (Print)
IS  - 2184-9927 (Linking)
VI  - 28
IP  - 1
DP  - 2021 Apr 8
TI  - EXTRACORPOREAL MEMBRANE OXYGENATION SUPPORT FOR POSTCARDIOTOMY SHOCK: SINGLE 
      CENTER EXPERIENCE.
PG  - 25-29
AB  - OBJECTIVES: We aim to report our experience on venoarterial extracorporeal 
      membrane oxygenation (VA-ECMO) for postcardiotomy shock (PCS). METHODS: Single 
      center, retrospective study of all patients on VA-ECMO for PCS, from November 
      2006 to July 2019. Pediatric and adult patients were analysed separately. Primary 
      outcomes were survival to discharge and one-year survival. RESULTS: Twenty-nine 
      patients were included. Pediatric group (group PED) (62%, n=18): mean age 1,3+/-2,1 
      years and 39% male. Adults (group AD) (38%, n=11): mean age 55,6+/-15,9 years and 
      64% male. Indications in group PED were complex congenital heart surgery (94%) 
      and heart transplant (6%), with 27% being reoperations; in group AD valvular 
      surgery (45%), aortic surgery (21%), coronary artery bypass grafting (18%) and 
      pulmonary endarterectomy (9%); 45% were reoperations. ECMO support was initiated 
      intraoperatively due to failure to wean from cardiopulmonary bypass in 28% of 
      group PED and 73% of group AD. Central cannulation was performed in all pediatric 
      patients and 82% adults. Bleeding was the most common complication in both groups 
      (group PED 39%, group AD 45%). Mean ECMO support time was respectively 6,2+/-4,9 
      and 6,2+/- 3,6 days for group PED and group AD. Weaning rate was 44% in group PED 
      (with 2 patients bridged to LVAD) and 45% in group AD. Survival to discharge as 
      well as one-year survival were both 28% in group PED and 18% in group AD. 
      CONCLUSION: Despite low survival and high complication rates, VA ECMO support 
      provides a survival benefit in refractory cases, with a dismal prognosis, that 
      would otherwise die.
FAU - Silva, Manuela
AU  - Silva M
AD  - Department of Cardiothoracic Surgery.
FAU - Rodrigues, Carolina
AU  - Rodrigues C
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Silva, Tiago
AU  - Silva T
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Coelho, Pedro
AU  - Coelho P
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Banazol, Nuno
AU  - Banazol N
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Rodrigues, Rui
AU  - Rodrigues R
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Franco, Paulo
AU  - Franco P
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
FAU - Fragata, Jose
AU  - Fragata J
AD  - Department of Cardiothoracic Surgery, Santa Marta Hospital, Centro Hospitalar 
      Universitario Lisboa Centro, Lisbon, Portugal.
LA  - eng
PT  - Journal Article
DEP - 20210408
PL  - Portugal
TA  - Port J Card Thorac Vasc Surg
JT  - Portuguese journal of cardiac thoracic and vascular surgery
JID - 9918249514506676
SB  - IM
CIN - Port J Card Thorac Vasc Surg. 2021 Apr 08;28(1):13-14. PMID: 33834660
MH  - Adult
MH  - Aged
MH  - Cardiopulmonary Bypass
MH  - Child
MH  - Child, Preschool
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - *Heart Transplantation
MH  - Hemorrhage
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
EDAT- 2021/04/10 06:00
MHDA- 2021/04/13 06:00
CRDT- 2021/04/09 06:50
PHST- 2021/04/07 00:00 [received]
PHST- 2021/04/09 06:50 [entrez]
PHST- 2021/04/10 06:00 [pubmed]
PHST- 2021/04/13 06:00 [medline]
PST - epublish
SO  - Port J Card Thorac Vasc Surg. 2021 Apr 8;28(1):25-29.