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
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TLDR
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.Abstract:
Objective:To assess the outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation (ECMO) for refractory cardiogenic shock.Design, Setting, and Patients:Refractory cardiogenic shock is almost always lethal without emergency circulatory support, e.g., ECMO. ECread more
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Journal ArticleDOI
Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest: a meta-analysis of 1,866 adult patients.
Richard Cheng,Rory Hachamovitch,Michelle M. Kittleson,Jignesh Patel,Francisco A. Arabia,Jaime Moriguchi,Fardad Esmailian,Babak Azarbal +7 more
TL;DR: Although ECMO can improve survival of patients with advanced heart disease, there is significant associated morbidity with performance of this intervention.
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
Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality: Analysis of the extracorporeal life support organization registry
Ryan P. Barbaro,Folafoluwa O. Odetola,Kelley M. Kidwell,Matthew L. Paden,Robert H. Bartlett,Matthew M. Davis,Gail M. Annich +6 more
TL;DR: In this international, case-mix-adjusted analysis, higher annual hospital ECMO volume was associated with lower mortality in 1989-2013 for neonates and adults; the association among adults persisted in 2008-2013.
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
Concomitant implantation of Impella® on top of veno-arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock.
Federico Pappalardo,Christian Schulte,Marina Pieri,Benedikt Schrage,Rachele Contri,Gerold Soeffker,Teresa Greco,Rosalba Lembo,Kai Müllerleile,Antonio Colombo,Karsten Sydow,Michele De Bonis,Florian Wagner,Hermann Reichenspurner,Stefan Blankenberg,Alberto Zangrillo,Dirk Westermann +16 more
TL;DR: Veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) support stabilizes patients with cardiogenic shock and may be impeded due to the increased afterload, resulting in a failing static left ventricle and in high mortality.
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