Transition to routine use of venoarterial extracorporeal oxygenation during lung transplantation could improve early outcomes

Yu, Woo Sik; Paik, Hyo Chae; Haam, Seokjin; Lee, Chang Young; Nam, Kyoung Ae; Jung, Haijo; Woo, Young Woon; Shu, J.W.; Lee, Jin Gu

doi:10.21037/jtd.2016.06.18

Cited by 36 publications

(32 citation statements)

References 19 publications

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“…Similarly, in a 2014 comparison of 271 consecutive patients who underwent lung transplant using either cardiopulmonary bypass or ECMO, there were differences in 30-day or 6-month mortality, and less postoperative complications among the ECMO group [43]. A number of more recent studies similarly comparing VA ECMO to cardiopulmonary bypass have confirmed the finding of a lower perioperative blood product transfusion requirement and lower 90-day mortality among the extracorporeal membrane oxygenation cohorts [48,49,52,53].…”

Section: Ecmo In the Peri-and Postoperative Period 41 Ecmo Versus Camentioning

confidence: 87%

Advances in Extracorporeal Membrane Oxygenation in the Setting of Lung Transplantation

Mazzei¹,

Keshavamurthy²,

Toyoda³

2019

Advances in Extracorporeal Membrane Oxygenation - Volume 3

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Lung transplantation has become an increasingly important modality for the treatment of severe lung disease. From its inception, the procedure has been refined so that it now represents the standard of care for end stage respiratory failure. The widespread adoption of this treatment option, however, has brought into sharp relief the current organ donor shortage. In tandem with the explosion in lung transplant procedures, a number of support modalities have seen an expanded role. Perhaps one of the most versatile tools in the armamentarium of the pulmonary transplant surgeon is extracorporeal membrane oxygenation (ECMO). This powerful tool is being increasingly implemented in all stages of lung transplantationfrom supporting the failing native organ as a bridging tool to transplantation, to stabilizing the patient intra-operatively during the transplant procedure, to rescuing the patient with severe primary graft dysfunction immediately post-transplant. A number of advanced techniques for the application of ECMO in order to optimize the pulmonary transplant procedure are gaining traction-and with ECMO's expanded role in lung transplantation, so also has come a new set of technical and ethical challenges that must also be overcome.

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Section: Ecmo In the Peri-and Postoperative Period 41 Ecmo Versus Camentioning

confidence: 87%

Advances in Extracorporeal Membrane Oxygenation in the Setting of Lung Transplantation

Mazzei¹,

Keshavamurthy²,

Toyoda³

2019

Advances in Extracorporeal Membrane Oxygenation - Volume 3

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“…Indeed, at our institution, we have routinely used ECMO on all patients who have undergone LTx since March 2013. ECMO facilitates intraoperative hemodynamic stability and improves short-term survival and postoperative lung function without increasing extracorporeal-related problems, such as vascular and neurologic complications [13]. Use of ECMO typically leads to routine weaning at the end of surgery.…”

Section: Commentmentioning

confidence: 99%

“…Therefore, we adopted ECMO for all patients who have undergone LTx since March 2013. We reported our successful transition to routine use of ECMO during LTx previously [13].…”

mentioning

confidence: 99%

Risk Factor Analysis for Intraoperative Extracorporeal Membrane Oxygenation Weaning Failure After Lung Transplantation

Narm

Suh

Kim

et al. 2018

The Annals of Thoracic Surgery

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“…Ebenso ist die Möglichkeit gegeben, die ECMO direkt in die postoperative Phase zu verlängern [1]. Ebenso wird über eine verringerte Anzahl an pulmonalen und renalen Komplikationen berichtet [5], eine geringer Rate an primärer Graftdysfunktion (PGD) [26], ein geringerer Einsatz von Blutprodukten, eine verkürzte Beatmungs-und Intensivaufenthaltsdauer [4,27] sowie verringerte vaskuläre und neurologische Komplikationen [28]. In der Regel wird bei intraoperativem Einsatz eine Flussrate entsprechend der Hälfte des Herzzeitvolumens gewählt.…”

Section: Intraoperative Ecmounclassified

Extrakorporale Membranoxygenierung in der Thoraxchirurgie – Lungentransplantation

2018

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Extracorporeal membrane oxygenation (ECMO) has become a routine method in thoracic surgery. Recent developments in lung transplantation have led to its widespread acceptance. Firstly, ECMO is increasingly being used to bridge patients to transplantation. The best results in this setting have been described with "awake ECMO". Secondly, ECMO has replaced cardio-pulmonary bypass as the intraoperative standard device in most centres and is used for treatment and prevention of primary graft dysfunction. Refinements of the devices in use and the cannula design allow an individualised approach tailored to the respiratory and haemodynamic situation of the patients and the anticipated duration of ECMO support.

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Transition to routine use of venoarterial extracorporeal oxygenation during lung transplantation could improve early outcomes

Cited by 36 publications

References 19 publications

Advances in Extracorporeal Membrane Oxygenation in the Setting of Lung Transplantation

Advances in Extracorporeal Membrane Oxygenation in the Setting of Lung Transplantation

Risk Factor Analysis for Intraoperative Extracorporeal Membrane Oxygenation Weaning Failure After Lung Transplantation

Extrakorporale Membranoxygenierung in der Thoraxchirurgie – Lungentransplantation

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