The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 302-311.e1 , February 2010

Early and late outcomes of 517 consecutive adult patients treated with extracorporeal membrane oxygenation for refractory postcardiotomy cardiogenic shock

Read at the Eighty-ninth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 9–13, 2009.

Received 13 July 2009 ,Revised 2 September 2009 ,Accepted 15 October 2009.

References 

  1. Smedira NG, Moazami N, Golding CM, McCarthy PM, Apperson-Hansen C, Blackstone EH, et al. Clinical experience with 202 adults receiving extracorporeal membrane oxygenation for cardiac failure: survival at five years. J Thorac Cardiovasc Surg. 2001;122:92–102
  2. Doll N, Kiaii B, Borger M, Bucerius J, Krämer K, Schmitt DV, et al. Five-year results of 219 consecutive patients treated with extracorporeal membrane oxygenation for refractory postoperative cardiogenic shock. Ann Thorac Surg. 2004;77:151–157
  3. Fiser SM, Tribble CG, Kaza AK, Long SM, Zacour RK, Kern JA, et al. When to discontinue extracorporeal membrane oxygenation for postcardiotomy support. Ann Thorac Surg. 2001;71:210–214
  4. Ko WJ, Lin CY, Chen RJ, Wang SS, Lin FY, Chen YS. Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shock. Ann Thorac Surg. 2002;73:538–545
  5. Pagani FD, Aaronson KD, Swaniker F, Bartlett RH. The use of extracorporeal life support in adult patients with primary cardiac failure as a bridge to implantable left ventricular assist device. Ann Thorac Surg. 2001;71(3 Suppl):S77–S85
  6. Smith C, Bellomo R, Raman JS, Matalanis G, Rosalion A, Buckmaster J, et al. An extracorporeal membrane oxygenation-based approach to cardiogenic shock in an older population. Ann Thorac Surg. 2001;71:1421–1427
  7. Smedira NG, Blackstone EH. Postcardiotomy mechanical support: risk factors and outcomes. Ann Thorac Surg. 2001;71(3 Suppl):S82–S85S60-6; discussion
  8. Magovern GJ, Simpson KA. Extracorporeal membrane oxygenation for adult cardiac support: the Allegheny experience. Ann Thorac Surg. 1999;68:655–661
  9. Bakhtiary F, Keller H, Dogan S, Dzemali O, Oezaslan F, Meininger D, et al. Venoarterial extracorporeal membrane oxygenation for treatment of cardiogenic shock: clinical experiences in 45 adult patients. J Thorac Cardiovasc Surg. 2008;135:382–388
  10. Zhang R, Kofidis T, Kamiya H, Shrestha M, Tessmann R, Haverich A, et al. Creatine kinase isoenzyme MB relative index as predictor of mortality on extracorporeal membrane oxygenation support for postcardiotomy cardiogenic shock in adult patients. Eur J Cardiothorac Surg. 2006;30:617–620
  11. Extracorporeal Life Support Organization [Internet]. Ann Arbor (MI): The Organization; c2009 [cited 2009 Jan]. Available from: http://www.elso.med.umich.edu/.
  12. Rastan AJ, Lachmann N, Walther T, Doll N, Gradistanac T, Gummert JF, et al. Autopsy findings in patients on postcardiotomy extracorporeal membrane oxygenation (ECMO). Int J Artif Organs. 2006;29:1121–1131
  13. DeRose JJ, Umana JP, Argenziano M, Catanese KA, Levin HR, Sun BC, et al. Improved results for postcardiotomy cardiogenic shock with the use of implantable left ventricular assist devices. Ann Thorac Surg. 1997;64:1757–1763
  14. Saito S, Nakatani T, Kobayashi J, Tagusari O, Bando K, Niwaya K, et al. Is extracorporeal life support contraindicated in elderly patients?. Ann Thorac Surg. 2007;83:140–145
  15. Golding LA, Crouch RD, Stewart RW, Novoa R, Lytle BW, McCarthy PM, et al. Postcardiotomy centrifugal mechanical ventricular support. Ann Thorac Surg. 1992;54:1059–1064
  16. Muehrcke DD, McCarthy PM, Stewart RW, Seshagiri S, Ogella DA, Foster RC, et al. Complications of extracorporeal life support systems using heparin-bound surfaces. The risk of intracardiac clot formation. J Thorac Cardiovasc Surg. 1995;110:843–851
  17. Mäkitaro R, Pääkko P, Huhti E, Bloigu R, Kinnula VL. Prospective population-based study on the survival of patients with lung cancer. Eur Respir J. 2002;19:1087–1092
  18. Combes A, Leprince P, Luyt CE, Bonnet N, Trouillet JL, Léger P, et al. Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock. Crit Care Med. 2008;36:1404–1411
  19. Arlt M, Philipp A, Zimmermann M, Voelkel S, Hilker M, Hobbhahn J, et al. First experiences with a new miniaturised life support system for mobile percutaneous cardiopulmonary bypass. Resuscitation. 2008;77:345–350

 Disclosures: None.

PII: S0022-5223(09)01410-X

doi: 10.1016/j.jtcvs.2009.10.043

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 302-311.e1 , February 2010