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Postcardiotomy Veno...
Postcardiotomy Venoarterial Extracorporeal Membrane Oxygenation With and Without Intra-Aortic Balloon Pump
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- Björnsdóttir, Björk (author)
- Skåne University Hospital
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- Biancari, Fausto (author)
- Helsinki University Central Hospital
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- Dalén, Magnus (author)
- Karolinska Institutet
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- Dell'Aquila, Angelo M. (author)
- University Hospital Münster
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- Jónsson, Kristján (author)
- Sahlgrenska University Hospital
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- Fiore, Antonio (author)
- Henri Mondor Hospital
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- Mariscalco, Giovanni (author)
- Glenfield Hospital
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- El-Dean, Zein (author)
- Glenfield Hospital
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- Gatti, Giuseppe (author)
- Ospedale Riuniti
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- Zipfel, Svante (author)
- University Heart Center Hamburg
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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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- Alkhamees, Khalid (author)
- Prince Sultan Cardiac Center
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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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- Spadaccio, Cristiano (author)
- Golden Jubilee National Hospital,Harvard Medical School
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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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- Speziale, Giuseppe (author)
- Anthea Hospital
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- Lichtenberg, Artur (author)
- University Hospital of Düsseldorf
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- Ruggieri, Vito G. (author)
- Robert Debré University Hospital
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- Yusuf, Hakeem (author)
- Glenfield Hospital
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- Ragnarsson, Sigurdur (author)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- English.
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In: Journal of Cardiothoracic and Vascular Anesthesia. - : Elsevier BV. - 1053-0770 .- 1532-8422. ; 36:8, s. 2876-2883
- Related links:
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http://dx.doi.org/10... (free)
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http://www.jcvaonlin...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
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- Objectives: To compare the outcomes of patients with postcardiotomy shock treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO) only compared with VA-ECMO and intra-aortic balloon pump (IABP). Design: A retrospective multicenter registry study. Setting: At 19 cardiac surgery units. Participants: A total of 615 adult patients who required VA-ECMO from 2010 to 2018. The patients were divided into 2 groups depending on whether they received VA-ECMO only (ECMO only group) or VA-ECMO plus IABP (ECMO-IABP group). Measurements and Main Results: The overall series mean age was 63 ± 13 years, and 33% were female. The ECMO-only group included 499 patients, and 116 patients were in the ECMO-IABP group. Urgent and/or emergent procedures were more common in the ECMO-only group. Central cannulation was performed in 47% (n = 54) in the ECMO-IABP group compared to 27% (n = 132) in the ECMO-only group. In the ECMO-IABP group, 58% (n = 67) were successfully weaned from ECMO, compared to 46% (n = 231) in the ECMO-only group (p = 0.026). However, in-hospital mortality was 63% in the ECMO-IABP group compared to 65% in the ECMO-only group (p = 0.66). Among 114 propensity score-matched pairs, ECMO-IABP group had comparable weaning rates (57% v 53%, p = 0.51) and in-hospital mortality (64% v 58%, p = 0.78). Conclusions: This multicenter study showed that adjunctive IABP did not translate into better outcomes in patients treated with VA-ECMO for postcardiotomy shock.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- cardiogenic shock
- intra-aortic balloon pump
- postcardiotomy
- venoarterial extracorporeal membrane oxygenation
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Björnsdóttir, Bj ...
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Biancari, Fausto
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Dalén, Magnus
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Dell'Aquila, Ang ...
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Jónsson, Kristjá ...
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Fiore, Antonio
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Mariscalco, Giov ...
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El-Dean, Zein
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Gatti, Giuseppe
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Zipfel, Svante
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Perrotti, Andrea
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Bounader, Karl
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Alkhamees, Khali ...
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Loforte, Antonio
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Lechiancole, And ...
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Pol, Marek
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Spadaccio, Crist ...
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Pettinari, Matte ...
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De Keyzer, Diete ...
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Welp, Henryk
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Speziale, Giusep ...
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Lichtenberg, Art ...
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Ruggieri, Vito G ...
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Yusuf, Hakeem
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Ragnarsson, Sigu ...
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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 Anesthesiology a ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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Journal of Cardi ...
- By the university
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Lund University
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Karolinska Institutet