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Venoarterial Extrac...
Venoarterial Extracorporeal Membrane Oxygenation After Surgical Repair of Type A Aortic Dissection
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- Mariscalco, Giovanni (author)
- Glenfield Hospital
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- Fiore, Antonio (author)
- Henri Mondor Hospital
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- Ragnarsson, Sigurdur (author)
- Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection
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- El-Dean, Zein (author)
- Glenfield Hospital
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- Jónsson, Kristján (author)
- Sahlgrenska University Hospital
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- Dalén, Magnus (author)
- Karolinska Institutet,Karolinska University Hospital
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- Fux, Thomas (author)
- Karolinska Institutet,Karolinska University Hospital
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- Ruggieri, Vito G. (author)
- Robert Debré University Hospital,University Hospital Of Trieste
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- Gatti, Giuseppe (author)
- University Hospital Of Trieste
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- Juvonen, Tatu (author)
- University of Oulu,Helsinki University Central Hospital
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- Zipfel, Svante (author)
- University Medical Center Hamburg-Eppendorf
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- Dell'Aquila, Angelo M. (author)
- University Hospital Münster
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- Perrotti, Andrea (author)
- University Hospital Jean Minjoz
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- Bounader, Karl (author)
- Pontchaillou University Hospital
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- Settembre, Nicla (author)
- University Hospital of Nancy
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- Loforte, Antonio (author)
- St. Orsola-Malpighi University Hospital,University of Bologna
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- Livi, Ugolino (author)
- University Hospital of Udine
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- Pol, Marek (author)
- Institute for Clinical and Experimental Medicine (IKEM)
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- Spadaccio, Cristiano (author)
- Golden Jubilee National Hospital
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- Pettinari, Matteo (author)
- Hospital Oost-Limburg
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- Reichart, Daniel (author)
- University Medical Center Hamburg-Eppendorf
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- Alkhamees, Khalid (author)
- Prince Sultan Cardiac Center
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- Welp, Henryk (author)
- University Medical Center Hamburg-Eppendorf
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- Maselli, Daniele (author)
- S. Anna Hospital
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- Lichtenberg, Artur (author)
- University Hospital of Düsseldorf
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- Biancari, Fausto (author)
- Helsinki University Central Hospital,Turku University Hospital,University of Oulu
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(creator_code:org_t)
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- Elsevier BV, 2020
- 2020
- English 5 s.
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In: American Journal of Cardiology. - : Elsevier BV. - 0002-9149 .- 1879-1913. ; 125:12, s. 1901-1905
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http://dx.doi.org/10...
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https://helda.helsin...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Venoarterial (VA) extracorporeal membrane oxygenation (ECMO) support for postcardiotomy cardiogenic shock (PCS) in patients undergoing surgery for acute type A aortic dissection (TAAD) is controversial and the available evidence is confined to limited case series. We aimed to evaluate the impact of this salvage therapy in this patient population. Between January 2010 and March 2018, all TAAD patients receiving VA-ECMO for PCS were retrieved from the PC-ECMO registry. Hospital mortality and other secondary outcomes were compared with PCS patients undergoing surgery for other cardiac pathologies and treated with VA-ECMO. Among the 781 patients in the PC-ECMO registry, 62 (7.9%) underwent TAAD repair and required VA-ECMO support for PCS. In-hospital mortality accounted for 46 (74.2%) patients, while 23 (37.1%) were successfully weaned from VA-ECMO. No significant differences were observed between the TAAD and non-TAAD cohorts with reference to in-hospital mortality (74.2% vs 63.4%, p = 0.089). However, patients in the TAAD group had a higher rate of neurological events (33.9% vs 17.6%, p = 0.002), but similar rates of reoperation for bleeding/tamponade (48.4% vs 41.5%, p = 0.29), transfusion of ≥10 red blood cell units (77.4% vs 69.5%, p = 0.19), new-onset dialysis (56.7% vs 53.1%, p = 0.56), and other secondary outcomes. VA-ECMO provides a valid support for patients affected by PCS after surgery for TAAD.
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)
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Mariscalco, Giov ...
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Fiore, Antonio
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Ragnarsson, Sigu ...
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El-Dean, Zein
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Jónsson, Kristjá ...
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Dalén, Magnus
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show more...
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Fux, Thomas
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Ruggieri, Vito G ...
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Gatti, Giuseppe
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Juvonen, Tatu
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Zipfel, Svante
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Dell'Aquila, Ang ...
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Perrotti, Andrea
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Bounader, Karl
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Settembre, Nicla
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Loforte, Antonio
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Livi, Ugolino
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Pol, Marek
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Spadaccio, Crist ...
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Pettinari, Matte ...
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Reichart, Daniel
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Alkhamees, Khali ...
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Welp, Henryk
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Maselli, Daniele
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Lichtenberg, Art ...
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Biancari, Fausto
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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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American Journal ...
- By the university
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Lund University
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Karolinska Institutet