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Sökning: WFRF:(Pettinari Matteo) > Peripheral versus c...

  • Mariscalco, GiovanniGlenfield Hospital (författare)

Peripheral versus central extracorporeal membrane oxygenation for postcardiotomy shock : Multicenter registry, systematic review, and meta-analysis

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2020

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:4ebbacaa-6e71-4a06-88bc-5e7362f92f02
  • https://lup.lub.lu.se/record/4ebbacaa-6e71-4a06-88bc-5e7362f92f02URI
  • https://doi.org/10.1016/j.jtcvs.2019.10.078DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144944693URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Salsano, AntonioUniversity of Genoa (författare)
  • Fiore, AntonioHenri Mondor Hospital,University of Paris-Est (författare)
  • Dalén, MagnusKarolinska Institutet,Karolinska Institute,Karolinska University Hospital (författare)
  • Ruggieri, Vito G.Robert Debré University Hospital (författare)
  • Saeed, DiyarUniversity Hospital of Düsseldorf (författare)
  • Jónsson, KristjánSahlgrenska University Hospital (författare)
  • Gatti, GiuseppeUniversity Hospital Of Trieste (författare)
  • Zipfel, SvanteUniversity Medical Center Hamburg-Eppendorf (författare)
  • Dell'Aquila, Angelo M.University Hospital Münster (författare)
  • Perrotti, AndreaUniversity Hospital Jean Minjoz (författare)
  • Loforte, AntonioUniversity of Bologna,St. Orsola-Malpighi University Hospital (författare)
  • Livi, UgolinoUniversity Hospital of Udine (författare)
  • Pol, MarekInstitute for Clinical and Experimental Medicine (IKEM) (författare)
  • Spadaccio, CristianoGolden Jubilee National Hospital (författare)
  • Pettinari, MatteoHospital Oost-Limburg (författare)
  • Ragnarsson, SigurdurLund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups(Swepub:lu)med-sdr (författare)
  • Alkhamees, KhalidPrince Sultan Cardiac Center (författare)
  • El-Dean, ZeinGlenfield Hospital (författare)
  • Bounader, KarlPontchaillou University Hospital (författare)
  • Biancari, FaustoUniversity of Oulu,University of Turku,Turku University Hospital (författare)
  • Glenfield HospitalUniversity of Genoa (creator_code:org_t)
  • PC-ECMO Group

Sammanhörande titlar

  • Ingår i:Journal of Thoracic and Cardiovascular Surgery: Elsevier BV160:5, s. 44-12160022-52231097-685X

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