Clinical outcomes in patients after extracorporeal membrane oxygenation support for post-cardiotomy cardiogenic shock: a single-centre experience of 92 cases†

Abstract

Refractory cardiogenic shock requiring ECMO was most frequently observed after redo valvular surgery in the present study. The overall 6-month survival rate was 39% after ECMO support for post-cardiotomy cardiogenic shock with acceptable health-related quality of life. Improved kidney and liver functions after 24 h of support were associated with favourable outcomes.

Outcomes after extracorporeal life support for postcardiotomy cardiogenic shock

“…This is in contrast with the natural evolution of 19 Despite a longer period of mechanical support, the complication rate was quite comparable to previous studies in terms of surgical revision for bleeding, leg ischemia, and acute renal failure requiring renal replacement therapy. 4,5,7,8,11,14,17,19,20 Our analysis did not find any independent variables associated with in-hospital mortality, which may be explained by our limited small sample size. 4,5,7,8,11,14,17,19,20 Our analysis did not find any independent variables associated with in-hospital mortality, which may be explained by our limited small sample size.…”

“…authors concluded that ECLS implantation in acute aortic dissection is associated with extremely high mortality irrespective of when the intervention is performed. The mean duration of temporary mechanical support in our series was quite longer than that reported in previous studies [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Our analysis did not find a survival advantage in the most recent cohort.…”

“…24,25 In the present analysis, half of the study population showed signs of satisfactory myocardial recovery allowing for ECLS weaning but only 39% survived to hospital discharge. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] In addition, a recent metaanalysis found that the pooled hospital survival after postcardiotomy ECLS was 36% (95% CI 31.5-40.8). [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] In addition, a recent metaanalysis found that the pooled hospital survival after postcardiotomy ECLS was 36% (95% CI 31.5-40.8).…”

“…The mean duration of temporary mechanical support in our series was quite longer than that reported in previous studies. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Distelmaier et al recently showed that ECLS support of more than 7 days negatively affects short-and long-term survival in 354 PCS patients. 19 Despite a longer period of mechanical support, the complication rate was quite comparable to previous studies in terms of surgical revision for bleeding, leg ischemia, and acute renal failure requiring renal replacement therapy.…”

Health‐related quality of life after extracorporeal membrane oxygenation: a single centre's experience

“…2,4,5,[23][24][25] High rates of return to independence in self-care and daily activities, as found in the present study, have also been reported previously in other studies using the EQ-5D descriptive system. 3,7,23,24,26,27 Our registered levels of psychological distress are low compared with those of several other studies using the HADS. 2,3,5,9,10 In a prospective longitudinal study, Tramm et al found that mental health improved during the first year after ECMO and that psychological distress was higher in survivors who received psychological care prior to ECMO treatment.…”