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Extracorporeal Membrane Oxygenation Uses in Refractory Cardiogenic Shock After Open-Heart Surgery
Elizalde, Pablo Salazar; Chaud, German J.; Gundelach, Joaquín; Gaete, Barbara; Durand, Marcos; Cuadra, Ignacio; Provoste, Sinthya; Yanten, Enrique; Tiznado, Marcelo; Alvarado, Cristóbal.
Afiliação
  • Elizalde, Pablo Salazar; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Chaud, German J.; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Gundelach, Joaquín; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Gaete, Barbara; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Durand, Marcos; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Cuadra, Ignacio; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Provoste, Sinthya; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Yanten, Enrique; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Tiznado, Marcelo; Las Higueras Hospital. Cardiac Surgery Department and ECMO Unit. Talcahuano. CL
  • Alvarado, Cristóbal; Las Higueras Hospital. Biomedical Research Unit. Talcahuano. CL
Rev. bras. cir. cardiovasc ; 39(1): e20220344, 2024. tab, graf
Article em En | LILACS-Express | LILACS | ID: biblio-1521672
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Introduction:

Extracorporeal membrane oxygenation (ECMO) is the first-line therapy for temporary mechanical circulatory support allowing cardiac and pulmonary recovery or as a bridge to further therapeutic alternatives. The aim of this study was to report clinical outcomes in adult patients with refractory cardiac failure after open-heart surgery undergoing ECMO in a single center with an ECMO unit in Chile.

Methods:

We retrospectively analyzed adults with refractory cardiac failure after open-heart surgery who required a venoarterial (VA) ECMO between 2016 and 2021.

Results:

Of 16 patients with VA ECMO, 60% were men (n=10), 90% had hypertension (n=14), 69% had < 30% of left ventricular ejection fraction (n=11), and the mean European System for Cardiac Operative Risk Evaluation II score was 12 ± 11%. ECMO support with central cannulation accounts for 81% (n=13), and an intra-aortic balloon pump was used in nine patients (56%). The mean time of support was 4.7 ± 2.6 days (1.5 - 12 days). ECMO weaning was achieved in 88% of patients, and in-hospital mortality was 44% (n=7) after discharge. The freedom from all-cause mortality at one year of follow-up of the entire cohort was 38% (n=6).

Conclusion:

VA ECMO is now a well-known life-saving therapeutic option, but mortality and morbidity remain high. Implementation of an ECMO program with educational training is mandatory in order to find the proper balance between patient benefits, ethical considerations, and public health financial input in South America.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: Rev. bras. cir. cardiovasc Assunto da revista: CARDIOLOGIA / CIRURGIA GERAL Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: Rev. bras. cir. cardiovasc Assunto da revista: CARDIOLOGIA / CIRURGIA GERAL Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Brasil