PMID- 35304046
OWN - NLM
STAT- MEDLINE
DCOM- 20220615
LR  - 20220801
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 36
IP  - 8 Pt B
DP  - 2022 Aug
TI  - Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation With and Without 
      Intra-Aortic Balloon Pump.
PG  - 2876-2883
LID - S1053-0770(22)00117-3 [pii]
LID - 10.1053/j.jvca.2022.02.006 [doi]
AB  - OBJECTIVES: To compare the outcomes of patients with postcardiotomy shock treated 
      with venoarterial extracorporeal membrane oxygenation (VA-ECMO) only compared 
      with VA-ECMO and intra-aortic balloon pump (IABP). DESIGN: A retrospective 
      multicenter registry study. SETTING: At 19 cardiac surgery units. PARTICIPANTS: A 
      total of 615 adult patients who required VA-ECMO from 2010 to 2018. The patients 
      were divided into 2 groups depending on whether they received VA-ECMO only (ECMO 
      only group) or VA-ECMO plus IABP (ECMO-IABP group). MEASUREMENTS AND MAIN 
      RESULTS: The overall series mean age was 63 +/- 13 years, and 33% were female. The 
      ECMO-only group included 499 patients, and 116 patients were in the ECMO-IABP 
      group. Urgent and/or emergent procedures were more common in the ECMO-only group. 
      Central cannulation was performed in 47% (n = 54) in the ECMO-IABP group compared 
      to 27% (n = 132) in the ECMO-only group. In the ECMO-IABP group, 58% (n = 67) 
      were successfully weaned from ECMO, compared to 46% (n = 231) in the ECMO-only 
      group (p = 0.026). However, in-hospital mortality was 63% in the ECMO-IABP group 
      compared to 65% in the ECMO-only group (p = 0.66). Among 114 propensity 
      score-matched pairs, ECMO-IABP group had comparable weaning rates (57% v 53%, 
      p = 0.51) and in-hospital mortality (64% v 58%, p = 0.78). CONCLUSIONS: This 
      multicenter study showed that adjunctive IABP did not translate into better 
      outcomes in patients treated with VA-ECMO for postcardiotomy shock.
CI  - Copyright (c) 2022 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Bjornsdottir, Bjork
AU  - Bjornsdottir B
AD  - Department of Cardiothoracic Surgery, Skane University Hospital and Lund 
      University, Lund, Sweden.
FAU - Biancari, Fausto
AU  - Biancari F
AD  - Clinica Montevergine, GVM Care & Research, Mercogliano, Italy; Heart and Lung 
      Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
FAU - Dalen, Magnus
AU  - Dalen M
AD  - Department of Molecular Medicine and Surgery, Department of Cardiac Surgery, 
      Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
FAU - Dell'Aquila, Angelo M
AU  - Dell'Aquila AM
AD  - Department of Cardiothoracic Surgery, Munster University Hospital, Munster, 
      Germany.
FAU - Jonsson, Kristjan
AU  - Jonsson K
AD  - Department of Cardiac Surgery, Sahlgrenska University Hospital, Gothenburg, 
      Sweden.
FAU - Fiore, Antonio
AU  - Fiore A
AD  - Department of Cardiothoracic Surgery, Henri Mondor University Hospital, AP-HP, 
      Paris-Est University, Creteil, France.
FAU - Mariscalco, Giovanni
AU  - Mariscalco G
AD  - Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of 
      Leicester NHS Trust, Leicester, United Kingdom.
FAU - El-Dean, Zein
AU  - El-Dean Z
AD  - Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of 
      Leicester NHS Trust, Leicester, United Kingdom.
FAU - Gatti, Giuseppe
AU  - Gatti G
AD  - Division of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.
FAU - Zipfel, Svante
AU  - Zipfel S
AD  - Hamburg University Heart Center, Hamburg, Germany.
FAU - Perrotti, Andrea
AU  - Perrotti A
AD  - Department of Thoracic and Cardio-Vascular Surgery, University Hospital Jean 
      Minjoz, Besancon, France.
FAU - Bounader, Karl
AU  - Bounader K
AD  - Division of Cardiothoracic and Vascular Surgery, Pontchaillou University 
      Hospital, Rennes, France.
FAU - Alkhamees, Khalid
AU  - Alkhamees K
AD  - Prince Sultan Cardiac Center, Al Hassa, Saudi Arabia.
FAU - Loforte, Antonio
AU  - Loforte A
AD  - Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola 
      Hospital, University of Bologna, Bologna, Italy.
FAU - Lechiancole, Andrea
AU  - Lechiancole A
AD  - Cardiothoracic Department, University Hospital of Udine, Udine, Italy.
FAU - Pol, Marek
AU  - Pol M
AD  - Institute of Clinical and Experimental Medicine, Prague, Czech Republic.
FAU - Spadaccio, Cristiano
AU  - Spadaccio C
AD  - Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, 
      United Kingdom; Department of Cardiac Surgery, Massachusetts General Hospital, 
      Harvard Medical School, Boston, MA.
FAU - Pettinari, Matteo
AU  - Pettinari M
AD  - Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium.
FAU - De Keyzer, Dieter
AU  - De Keyzer D
AD  - Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium.
FAU - Welp, Henryk
AU  - Welp H
AD  - Department of Cardiothoracic Surgery, Munster University Hospital, Munster, 
      Germany.
FAU - Speziale, Giuseppe
AU  - Speziale G
AD  - Division of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
FAU - Lichtenberg, Artur
AU  - Lichtenberg A
AD  - Department of Cardiovascular Surgery, Universitatsklinikum Dusseldorf, 
      Dusseldorf, Germany.
FAU - Ruggieri, Vito G
AU  - Ruggieri VG
AD  - Division of Cardiothoracic and Vascular Surgery, Robert Debre University 
      Hospital, Reims, France.
FAU - Yusuf, Hakeem
AU  - Yusuf H
AD  - Department of Cardiac Anesthesia and Intensive Care, Glenfield Hospital, 
      University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
FAU - Ragnarsson, Sigurdur
AU  - Ragnarsson S
AD  - Department of Cardiothoracic Surgery, Skane University Hospital and Lund 
      University, Lund, Sweden. Electronic address: sigurdur.ragnarsson@med.lu.se.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20220211
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
CIN - J Cardiothorac Vasc Anesth. 2022 Jul;36(7):2246. PMID: 35397957
MH  - Adult
MH  - Aged
MH  - *Cardiac Surgical Procedures/adverse effects
MH  - *Extracorporeal Membrane Oxygenation/methods
MH  - Female
MH  - *Heart-Assist Devices
MH  - Humans
MH  - Intra-Aortic Balloon Pumping/methods
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - *Shock/etiology
MH  - Shock, Cardiogenic/etiology/therapy
OTO - NOTNLM
OT  - cardiogenic shock
OT  - intra-aortic balloon pump
OT  - postcardiotomy
OT  - venoarterial extracorporeal membrane oxygenation
EDAT- 2022/03/20 06:00
MHDA- 2022/06/16 06:00
CRDT- 2022/03/19 05:28
PHST- 2021/10/31 00:00 [received]
PHST- 2022/02/04 00:00 [revised]
PHST- 2022/02/05 00:00 [accepted]
PHST- 2022/03/20 06:00 [pubmed]
PHST- 2022/06/16 06:00 [medline]
PHST- 2022/03/19 05:28 [entrez]
AID - S1053-0770(22)00117-3 [pii]
AID - 10.1053/j.jvca.2022.02.006 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt B):2876-2883. doi: 
      10.1053/j.jvca.2022.02.006. Epub 2022 Feb 11.