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Venoarterial Extracorporeal Membrane Oxygenation After Surgical Repair of Type A Aortic Dissection
G. Mariscalco, A. Fiore, S. Ragnarsson, Z. El-Dean, K. Jónsson, M. Dalén, T. Fux, VG. Ruggieri, G. Gatti, T. Juvonen, S. Zipfel, AM. Dell'Aquila, A. Perrotti, K. Bounader, N. Settembre, A. Loforte, U. Livi, M. Pol, C. Spadaccio, M. Pettinari, D....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie
NLK
ProQuest Central
od 2012-08-15 do Před 2 měsíci
Nursing & Allied Health Database (ProQuest)
od 2012-08-15 do Před 2 měsíci
Health & Medicine (ProQuest)
od 2012-08-15 do Před 2 měsíci
- MeSH
- délka operace MeSH
- disekce aorty mortalita chirurgie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mimotělní membránová oxygenace metody MeSH
- mortalita v nemocnicích MeSH
- pooperační komplikace MeSH
- registrace MeSH
- senioři MeSH
- záchranná terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
Venoarterial (VA) extracorporeal membrane oxygenation (ECMO) support for postcardiotomy cardiogenic shock (PCS) in patients undergoing surgery for acute type A aortic dissection (TAAD) is controversial and the available evidence is confined to limited case series. We aimed to evaluate the impact of this salvage therapy in this patient population. Between January 2010 and March 2018, all TAAD patients receiving VA-ECMO for PCS were retrieved from the PC-ECMO registry. Hospital mortality and other secondary outcomes were compared with PCS patients undergoing surgery for other cardiac pathologies and treated with VA-ECMO. Among the 781 patients in the PC-ECMO registry, 62 (7.9%) underwent TAAD repair and required VA-ECMO support for PCS. In-hospital mortality accounted for 46 (74.2%) patients, while 23 (37.1%) were successfully weaned from VA-ECMO. No significant differences were observed between the TAAD and non-TAAD cohorts with reference to in-hospital mortality (74.2% vs 63.4%, p = 0.089). However, patients in the TAAD group had a higher rate of neurological events (33.9% vs 17.6%, p = 0.002), but similar rates of reoperation for bleeding/tamponade (48.4% vs 41.5%, p = 0.29), transfusion of ≥10 red blood cell units (77.4% vs 69.5%, p = 0.19), new-onset dialysis (56.7% vs 53.1%, p = 0.56), and other secondary outcomes. VA-ECMO provides a valid support for patients affected by PCS after surgery for TAAD.
Cardiac Surgery S Anna Hospital Catanzaro Italy
Cardiothoracic Department University Hospital of Udine Udine Italy
Cardiovascular Surgery University Hospital of Dusseldorf Dusseldorf Germany
Department of Cardiac Surgery Sahlgrenska University Hospital Gothenburg Sweden
Department of Cardiothoracic Surgery Golden Jubilee National Hospital Glasgow United Kingdom
Department of Cardiothoracic Surgery Münster University Hospital Münster Germany
Department of Cardiothoracic Surgery University of Lund Lund Sweden
Department of Cardiovascular Surgery Ziekenhuis Oost Limburg Genk Belgium
Department of Thoracic and Cardio Vascular Surgery University Hospital Jean Minjoz Besançon France
Department of Vascular Surgery Nancy University Hospital University of Lorraine Nancy France
Division of Cardiac Surgery Ospedali Riuniti Trieste Italy
Division of Cardiothoracic and Vascular Surgery Pontchaillou University Hospital Rennes France
Division of Cardiothoracic and Vascular Surgery Robert Debré University Hospital Reims France
Hamburg University Heart Center Hamburg Germany
Heart and Lung Center Helsinki University Hospital Helsinki Finland
Heart Center Turku University Hospital and Department of Surgery University of Turku Finland
Institute of Clinical and Experimental Medicine Prague Czech Republic
Citace poskytuje Crossref.org
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- $a Mariscalco, Giovanni $u Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom. Electronic address: giovannimariscalco@yahoo.it.
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