Structured review of post-cardiotomy extracorporeal membrane oxygenation: part 1—Adult patients
Journal
Journal of Heart and Lung Transplantation
Journal Volume
38
Journal Issue
11
Pages
1125-1143
Date Issued
2019
Author(s)
Lorusso R.
Raffa G.M.
Alenizy K.
Sluijpers N.
Makhoul M.
Brodie D.
McMullan M.
Wang I.-W.
Meani P.
MacLaren G.
Kowalewski M.
Dalton H.
Barbaro R.
Hou X.
Cavarocchi N.
Thiagarajan R.
et al.,
Abstract
Cardiogenic shock, cardiac arrest, acute respiratory failure, or a combination of such events, are all potential complications after cardiac surgery which lead to high mortality. Use of extracorporeal temporary cardio-circulatory and respiratory support for progressive clinical deterioration can facilitate bridging the patient to recovery or to more durable support. Over the last decade, extracorporeal membrane oxygenation (ECMO) has emerged as the preferred temporary artificial support system in such circumstances. Many factors have contributed to widespread ECMO use, including the relative ease of implantation, effectiveness, versatility, low cost relative to alternative devices, and potential for full, not just partial circulatory support. While there have been numerous publications detailing the short and midterm outcomes of ECMO support, specific reports about post-cardiotomy ECMO (PC-ECMO), are limited, single-center experiences. Etiology of cardiorespiratory failure leading to ECMO implantation, associated ECMO complications, and overall patient outcomes may be unique to the PC-ECMO population. Despite the rise in PC-ECMO use over the past decade, short-term survival has not improved. This report, therefore, aims to present a comprehensive overview of the literature with respect to the prevalence of ECMO use, patient characteristics, ECMO management, and in-hospital and early post-discharge patient outcomes for those treated for post-cardiotomy heart, lung, or heart-lung failure. ? 2019 International Society for Heart and Lung Transplantation
Subjects
cardiac surgery; cardiogenic shock; extracorporeal life support; extracorporeal membrane oxygenation; postoperative complications
SDGs
Other Subjects
Article; cannulation; clinical effectiveness; complication; extracorporeal oxygenation; geriatrics; health care delivery; heart disease; heart lung failure; heart surgery; hospital discharge; hospitalization; human; incidence; left ventricular decompression; long term care; lung disease; open heart surgery; patient; patient characteristics; post cardiotomy; post cardiotomy extracorporeal oxygenation; practice guideline; prediction; priority journal; pulmonary artery cannulation; respiratory failure; survival rate; treatment duration; treatment indication; treatment outcome; trend study; weaning; adult; adverse event; postoperative complication; procedures; Adult; Cardiac Surgical Procedures; Extracorporeal Membrane Oxygenation; Humans; Postoperative Complications; Treatment Outcome
Publisher
Elsevier USA
Type
journal article