PMID- 37875966
OWN - NLM
STAT- MEDLINE
DCOM- 20231026
LR  - 20231118
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 18
IP  - 1
DP  - 2023 Oct 24
TI  - Effectiveness of VA-ECMO plus intra-aortic balloon pump for cardiac shock in 
      patients with type A aortic dissection: a case series.
PG  - 298
LID - 10.1186/s13019-023-02405-z [doi]
LID - 298
AB  - Limited reports exist on the utilization of venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) following aortic dissection surgery, possibly due to 
      concerns regarding complications. This case series aimed to evaluate the 
      effectiveness and safety of using VA-ECMO in combination with intra-aortic 
      balloon pump (IABP) for managing postoperative cardiogenic shock in patients with 
      type A aortic dissection (AAD). The study included nine patients with an average 
      age of 57.0 +/- 9.5 years. The patients underwent various surgical procedures, 
      including coronary artery bypass grafting (CABG) and aortic root reconstruction. 
      The results showed that the combined use of VA-ECMO and IABP was feasible and 
      effective in managing postoperative cardiogenic shock in AAD patients. However, 
      the in-hospital mortality rate was high, with six out of nine patients succumbing 
      to the condition. Among the patients who received VA-ECMO plus IABP in the 
      operating room, four were successfully weaned from VA-ECMO, and three survived 
      with a mean follow-up of 20 months. The study also highlighted the potential 
      risks of renal complications associated with VA-ECMO and IABP. The findings 
      suggest that the combined therapy of VA-ECMO and IABP may be beneficial for 
      patients who have difficulty weaning from cardiopulmonary bypass (CPB) after AAD 
      surgery.
CI  - (c) 2023. BioMed Central Ltd., part of Springer Nature.
FAU - Wu, Hui
AU  - Wu H
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Chen, Pengfei
AU  - Chen P
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Wei, Jinhua
AU  - Wei J
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Pei, Fengbo
AU  - Pei F
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Chen, Mingjian
AU  - Chen M
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Zhao, Diming
AU  - Zhao D
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Wang, Liqing
AU  - Wang L
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China.
FAU - Pu, Jundong
AU  - Pu J
AD  - Cardiovascular surgery department, Dali Bai Autonomous Prefecture People's 
      Hospital, Dali, China.
FAU - Chen, Zujun
AU  - Chen Z
AD  - Cardiovascular surgery department, Fuwai Hospital, Chinese Academy of medical 
      sciences and Peking Union Medical College, National Center for Cardiovascular 
      Diseases, Beijing, China. chenzujun@fuwai.com.
LA  - eng
GR  - No. 2021-1-I2M-016/Chinese Academy of Medical Sciences Innovation Fund for 
      Medical Sciences/
GR  - No. 2021-1-I2M-016/Chinese Academy of Medical Sciences Innovation Fund for 
      Medical Sciences/
GR  - No. 2021-1-I2M-016/Chinese Academy of Medical Sciences Innovation Fund for 
      Medical Sciences/
GR  - No. 2021-1-I2M-016/Chinese Academy of Medical Sciences Innovation Fund for 
      Medical Sciences/
PT  - Journal Article
DEP - 20231024
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
SB  - IM
MH  - Humans
MH  - Middle Aged
MH  - Aged
MH  - Shock, Cardiogenic/etiology/surgery
MH  - *Extracorporeal Membrane Oxygenation/methods
MH  - Intra-Aortic Balloon Pumping/adverse effects
MH  - Aorta
MH  - *Aortic Dissection/surgery
PMC - PMC10594738
OTO - NOTNLM
OT  - Coronary artery bypass graft
OT  - Extracorporeal membrane pulmonary circulation
OT  - Intra-aortic balloon pump
OT  - Type a aortic dissection
COIS- The authors declare no competing interests.
EDAT- 2023/10/25 00:42
MHDA- 2023/10/26 06:42
PMCR- 2023/10/24
CRDT- 2023/10/24 23:57
PHST- 2023/01/15 00:00 [received]
PHST- 2023/09/30 00:00 [accepted]
PHST- 2023/10/26 06:42 [medline]
PHST- 2023/10/25 00:42 [pubmed]
PHST- 2023/10/24 23:57 [entrez]
PHST- 2023/10/24 00:00 [pmc-release]
AID - 10.1186/s13019-023-02405-z [pii]
AID - 2405 [pii]
AID - 10.1186/s13019-023-02405-z [doi]
PST - epublish
SO  - J Cardiothorac Surg. 2023 Oct 24;18(1):298. doi: 10.1186/s13019-023-02405-z.