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Outcome of Repeat V...
Outcome of Repeat Venoarterial Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock
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- Yusuff, Hakeem (author)
- Glenfield Hospital
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- Biancari, Fausto (author)
- Helsinki University Central Hospital,University of Oulu,University of Turku
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- Jónsson, Kristján (author)
- Sahlgrenska University Hospital
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- Ragnarsson, Sigurdur (author)
- Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Skåne University Hospital
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- Dalén, Magnus (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Fux, Thomas (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Dell'Aquila, Angelo M. (author)
- University Hospital Münster
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- Fiore, Antonio (author)
- University Paris-Est Créteil,Henri Mondor Hospital
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- Perna, Dario Di (author)
- Robert Debré University Hospital
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- Gatti, Giuseppe (author)
- University Hospital Of Trieste
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- Gabrielli, Marco (author)
- University Hospital Of Trieste
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- Juvonen, Tatu (author)
- Helsinki University Central Hospital,University of Oulu
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- Zipfel, Svante (author)
- Pontchaillou University Hospital,University Medical Center Hamburg-Eppendorf
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- Bounader, Karl (author)
- University Medical Center Hamburg-Eppendorf,Pontchaillou University Hospital
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- Perrotti, Andrea (author)
- University Hospital Jean Minjoz
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- Loforte, Antonio (author)
- St. Orsola-Malpighi University Hospital
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- Lechiancole, Andrea (author)
- University Hospital of Udine
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- Pol, Marek (author)
- Institute for Clinical and Experimental Medicine (IKEM)
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- Pettinari, Matteo (author)
- Hospital Oost-Limburg
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- De Keyzer, Dieter (author)
- Hospital Oost-Limburg
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- Welp, Henryk (author)
- University Hospital Münster
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- Maselli, Daniele (author)
- S. Anna Hospital
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- Alkhamees, Khalid (author)
- Prince Sultan Cardiac Center
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- Ruggieri, Vito G. (author)
- Robert Debré University Hospital
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- Mariscalco, Giovanni (author)
- Glenfield Hospital
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- English.
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In: Journal of Cardiothoracic and Vascular Anesthesia. - : Elsevier BV. - 1053-0770 .- 1532-8422. ; 35:12, s. 3620-3625
- Related links:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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Abstract
Subject headings
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- Objective: Data on patients requiring a second run of venoarterial extracorporeal membrane oxygenation (VA-ECMO) support in patients affected by postcardiotomy cardiogenic shock (PCS) are very limited. The authors aimed to investigate the effect of a second run of VA-ECMO on PCS patient survival. Design: Retrospective analysis of an international registry. Setting: Multicenter study, tertiary university hospitals. Participants: Data on adult PCS patients receiving a second run of VA-ECMO. Measurements and Main Results: A total of 674 patients with a mean age of 62.9 ± 12.7 years were analyzed, and 21 (3.1%) patients had a second run of VA-ECMO. None of them required more than two VA-ECMO runs. The median duration of VA-ECMO therapy was 135 hours (interquartile range [IQR] 61-226) in patients who did not require a VA-ECMO rerun. In the rerun VA-ECMO group the median overall duration of VA-ECMO therapy was 183 hours (IQR 107-344), and the median duration of the first run was 114 hours (IQR 66-169). Nine (42.9%) of the patients who required a second run of VA-ECMO died during VA-ECMO therapy, whereas five (23.8%) survived to hospital discharge. No differences between patients treated with single or second VA-ECMO runs were observed in terms of hospital mortality and late survival. In patients requiring a second VA-ECMO run, the actuarial survival estimates at three and 12 months after VA-ECMO weaning were 23.8% ± 9.3% and 19.6% ± 6.4%, respectively. Conclusions: Repeat VA-ECMO therapy is a valid treatment strategy for PCS patients. Early and late survivals are similar between patients who have undergone a single or second run of VA-ECMO.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- cardiac surgery
- complications
- ECMO
- extracorporeal membrane oxygenation
- multiple cannulation
- survival
Publication and Content Type
- art (subject category)
- ref (subject category)
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To the university's database
- By the author/editor
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Yusuff, Hakeem
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Biancari, Fausto
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Jónsson, Kristjá ...
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Ragnarsson, Sigu ...
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Dalén, Magnus
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Fux, Thomas
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show more...
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Dell'Aquila, Ang ...
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Fiore, Antonio
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Perna, Dario Di
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Gatti, Giuseppe
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Gabrielli, Marco
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Juvonen, Tatu
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Zipfel, Svante
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Bounader, Karl
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Perrotti, Andrea
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Loforte, Antonio
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Lechiancole, And ...
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Pol, Marek
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Pettinari, Matte ...
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De Keyzer, Diete ...
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Welp, Henryk
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Maselli, Daniele
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Alkhamees, Khali ...
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Ruggieri, Vito G ...
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Mariscalco, Giov ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Journal of Cardi ...
- By the university
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Lund University
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Karolinska Institutet