Journal ArticleDOI
Extracorporeal membrane oxygenation for adult cardiac support: the Allegheny experience.
TLDR
ECMO provides good cardiopulmonary and end-organ support; survival rates are similar to or higher than those seen with centrifugal pump support in comparable patient populations.About:
This article is published in The Annals of Thoracic Surgery.The article was published on 1999-08-01. It has received 135 citations till now. The article focuses on the topics: Extracorporeal membrane oxygenation & Membrane oxygenator.read more
Citations
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Journal ArticleDOI
Predicting survival after ECMO for refractory cardiogenic shock: the survival after veno-arterial-ECMO (SAVE)-score
Matthieu Schmidt,Aidan Burrell,L. Roberts,Michael Bailey,Jayne Sheldrake,Peter Rycus,Carol L. Hodgson,Carlos Scheinkestel,D. Jamie Cooper,Ravi R. Thiagarajan,Daniel Brodie,Vincent Pellegrino,David Pilcher +12 more
TL;DR: The SAVE-score may be a tool to predict survival for patients receiving ECMO for refractory cardiogenic shock (www.save-score.com) and create the survival after veno-arterial-ECMO (SAVE)-score.
Journal ArticleDOI
Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock*
Alain Combes,Pascal Leprince,Charles-Edouard Luyt,Nicolas Bonnet,Jean-Louis Trouillet,Philippe Léger,Alain Pavie,Jean Chastre +7 more
TL;DR: ECMO support can rescue 40% of otherwise fatal cardiogenic shock patients but its initiation under cardiac massage or after renal or hepatic failure carried higher risks of intensive care unit death, while fulminant myocarditis had a better prognosis.
Journal ArticleDOI
Early and late outcomes of 517 consecutive adult patients treated with extracorporeal membrane oxygenation for refractory postcardiotomy cardiogenic shock
Ardawan Rastan,Andreas Dege,Matthias Mohr,Nicolas Doll,Volkmar Falk,Thomas Walther,Friedrich W. Mohr +6 more
TL;DR: Extracorporeal membrane oxygenation support is an acceptable option for patients with postcardiotomy cardiogenic shock who otherwise would die and is justified by good long-term outcome of hospital survivors.
Journal ArticleDOI
Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era.
TL;DR: Extracorporeal membrane oxygenation (ECMO) has been used in clinical medicine for 40 years but remains controversial therapy, particularly in adult patients with severe respiratory failure as discussed by the authors.
Journal ArticleDOI
Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation
Yih-Sharng Chen,Anne Chao,Hsi-Yu Yu,Wen-Je Ko,I-Hui Wu,Robert Chen,Shu-Chien Huang,Fang-Yue Lin,S.-S. Wang +8 more
TL;DR: The results indicate that a shorter CPR duration, postcardiotomy arrest, myocardial indicators, a hepatic indicator, and lactic acid are significantly correlated with both weaning and survival, whereas late damage rather than initial damage was more predictive of the results.
References
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Journal ArticleDOI
Extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock
Derek D. Muehrcke,Patrick M. McCarthy,Robert W. Stewart,Robert C. Foster,David A. Ogella,Judith A. Borsh,Delos M. Cosgrove +6 more
TL;DR: Statistical analysis revealed that patients unable to be weaned from ECLS were more likely to have a critically dilated left ventricle on echocardiography and were female, whereas women and patients with persistent left ventricular dilatation are less likely to beWeaned.
Journal ArticleDOI
Extracorporeal membrane oxygenation: Preliminary results in patients with postcardiotomy cardiogenic shock
George J. Magovern,James A. Magovern,Daniel H. Benckart,Robert R. Lazzara,Tamara Sakert,Thomas D. Maher,Richard E. Clark +6 more
TL;DR: Extracorporeal membrane oxygenation without left ventricular drainage clearly is not effective in patients undergoing mitral valve operations as it does not effectively decompress the left ventricle, but it was highly effective in treating postcardiotomy cardiogenic shock in the authors' coronary artery bypass grafting patients.
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Prolonged open sternotomy and delayed sternal closure after cardiac operations.
Anthony P. Furnary,Anthony P. Furnary,James A. Magovern,James A. Magovern,Kathleen A. Simpson,Kathleen A. Simpson,George J. Magovern,George J. Magovern +7 more
TL;DR: Maintenance of an open sternotomy after a complicated cardiac operation is an adjunct in the treatment of the severely impaired heart and predictors of the timing, morbidity, and prognosis of delayed sternal closure (DSC) could be determined by intensive case review.
Journal ArticleDOI
Heparin-coated cBypass circuits
TL;DR: Hparin-coated circuits have been safely used for extracorporeal lung assist with little or no systemic anticoagulation, and it would seem appropriate to develop heparin coating for silicone-based membrane oxygenators.