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Peripheral versus c...
Peripheral versus central extracorporeal membrane oxygenation for postcardiotomy shock : Multicenter registry, systematic review, and meta-analysis
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- Mariscalco, Giovanni (författare)
- Glenfield Hospital
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- Salsano, Antonio (författare)
- University of Genoa
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- Fiore, Antonio (författare)
- Henri Mondor Hospital,University of Paris-Est
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- Dalén, Magnus (författare)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Ruggieri, Vito G. (författare)
- Robert Debré University Hospital
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- Saeed, Diyar (författare)
- University Hospital of Düsseldorf
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- Jónsson, Kristján (författare)
- Sahlgrenska University Hospital
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- Gatti, Giuseppe (författare)
- University Hospital Of Trieste
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- Zipfel, Svante (författare)
- University Medical Center Hamburg-Eppendorf
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- Dell'Aquila, Angelo M. (författare)
- University Hospital Münster
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- Perrotti, Andrea (författare)
- University Hospital Jean Minjoz
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- Loforte, Antonio (författare)
- University of Bologna,St. Orsola-Malpighi University Hospital
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- Livi, Ugolino (författare)
- University Hospital of Udine
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- Pol, Marek (författare)
- Institute for Clinical and Experimental Medicine (IKEM)
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- Spadaccio, Cristiano (författare)
- Golden Jubilee National Hospital
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- Pettinari, Matteo (författare)
- Hospital Oost-Limburg
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- Ragnarsson, Sigurdur (författare)
- Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups
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- Alkhamees, Khalid (författare)
- Prince Sultan Cardiac Center
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- El-Dean, Zein (författare)
- Glenfield Hospital
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- Bounader, Karl (författare)
- Pontchaillou University Hospital
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- Biancari, Fausto (författare)
- University of Oulu,University of Turku,Turku University Hospital
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(creator_code:org_t)
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- Elsevier BV, 2020
- 2020
- Engelska.
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Ingår i: Journal of Thoracic and Cardiovascular Surgery. - : Elsevier BV. - 0022-5223 .- 1097-685X. ; 160:5, s. 44-1216
- Relaterad länk:
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http://dx.doi.org/10...
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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
Ämnesord
Stäng
- Background: We hypothesized that cannulation strategy in venoarterial extracorporeal membrane oxygenation (VA-ECMO) could play a crucial role in the perioperative survival of patients affected by postcardiotomy shock. Methods: Between January 2010 and March 2018, 781 adult patients receiving VA-ECMO for postcardiotomy shock at 19 cardiac surgical centers were retrieved from the Postcardiotomy Veno-arterial Extracorporeal Membrane Oxygenation study registry. A parallel systematic review and meta-analysis (PubMed/MEDLINE, Embase, and Cochrane Library) through December 2018 was also accomplished. Results: Central and peripheral VA-ECMO cannulation were performed in 245 (31.4%) and 536 (68.6%) patients, respectively. Main indications for the institution VA-ECMO were failure to wean from cardiopulmonary bypass (38%) and heart failure following cardiopulmonary bypass weaning (48%). The doubly robust analysis after inverse probability treatment weighting by propensity score demonstrated that central VA-ECMO was associated with greater hospital mortality (odds ratio 1.54; 95% confidence interval, 1.09-2.18), reoperation for bleeding/tamponade (odds ratio, 1.96; 95% confidence interval, 1.37-2.81), and transfusion of more than 9 RBC units (odds ratio, 2.42; 95% confidence interval, 1.59-3.67). The systematic review provided a total of 2491 individuals with postcardiotomy shock treated with VA-ECMO. Pooled prevalence of in-hospital/30-day mortality in overall patient population was 66.6% (95% confidence interval, 64.7-68.4%), and pooled unadjusted risk ratio analysis confirmed that patients undergoing peripheral VA-ECMO had a lower in-hospital/30-day mortality than patients undergoing central cannulation (risk ratio, 0.92; 95% confidence interval, 0.87-0.98). Adjustments for important confounders did not alter our results. Conclusions: In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation.
Ämnesord
- 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)
Nyckelord
- cardiac surgery
- ECMO
- extracorporeal membrane oxygenation
- postcardiotomy
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Mariscalco, Giov ...
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Salsano, Antonio
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Fiore, Antonio
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Dalén, Magnus
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Ruggieri, Vito G ...
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Saeed, Diyar
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visa fler...
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Jónsson, Kristjá ...
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Gatti, Giuseppe
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Zipfel, Svante
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Dell'Aquila, Ang ...
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Perrotti, Andrea
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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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Ragnarsson, Sigu ...
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Alkhamees, Khali ...
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El-Dean, Zein
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Bounader, Karl
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Biancari, Fausto
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
- Artiklar i publikationen
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Journal of Thora ...
- Av lärosätet
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Lunds universitet
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Karolinska Institutet