Outcomes in patients requiring repeat extracorporeal membrane oxygenation

Abstract

Outcomes for repeat ECMO patients compare favorably to the overall ECMO population and suggest a need to explore and broaden the clinical indications for repeat ECMO.

A bridge from HeartMate XVE to HeartMate 3

“…The overall in‐hospital survival was 50%, which was similar to the survival of patients undergoing first time ECMO support at that institution. Seventy‐five percent (3/4) of the patients who had a repeat ECMO inserted during the same hospitalization died; whereas the mortality for a repeat ECMO on a followup hospitalization was 0% (0/2) …”

“…6 Reimplantation of mechanical support devices have been previously documented for extracorporeal membrane oxygenation (ECMO). 8,9 Brady et al reported the outcomes of repeat ECMO in six patients.…”

“…Seventy-five percent (3/4) of the patients who had a repeat ECMO inserted during the same hospitalization died; whereas the mortality for a repeat ECMO on a followup hospitalization was 0% (0/2). 8 Reimplantation of a LVAD following explantation is extremely rare since it is indeed a less than ideal treatment of relapsing heart failure compared to heart transplantation. In a long-term follow-up study by Unfortunately, her recent history of breast cancer was an absolute contraindication for transplantation thus an alternative treatment management was sought.…”

Repeat extracorporeal membrane oxygenation support-Are the results better the second time around?

“…In this edition of the Journal, Brady and coworkers review the outcomes of REPs and compare them to the overall ECMO population in the Nebraska ECMO Research Database . A REP was defined as a patient who required a second period of ECMO support, either during the same hospitalization or on a separate hospital admission.…”

“…In this edition of the Journal, Brady and coworkers review the outcomes of REPs and compare them to the overall ECMO population in the Nebraska ECMO Research Database. 5 What factors should constitute an indication for a second ECMO run? The limited data from this series would suggest that patients receiving a second ECMO on a subsequent hospitalization and those who are candidates for a ventricular assist device or cardiac transplantation have a greater chance for survival.…”