Title: Application of extracorporeal membrane oxygenation for treatment of critically ill cardiac patients
Abstract: Objective: To summarize the clinical experience of treating critically ill cardiac patients with extracorporeal membrane oxygenation(ECMO) support. Methods: Clinical data of 7 patients supported with veno-arterial ECMO system because of refractory cardiogenic shock(CS) or unstable hemodynamic after failure of conventional therapy and intra-aortic balloon pump counterpulsation(IABP) therapy were analyzed retrospectively. Indications for support were post-acute myocardial infarction with CS(4 cases,57. 1%),fulminant myocarditis(1 case,14. 3%),and cardiac arrest(2 cases,28. 6%).Results: Patients were supported with ECMO for a mean duration of(4. 7 ± 3. 2) days( range: 1 ~ 9 days),and weaning was successful in 6 patients(85. 7%). Three patients had undergone percutaneous coronary intervention( PCI). Major complications included bleeding(2 cases,28. 6%),limb ischemia(1 case,14. 3%),acute renal failure(1 case,14. 3%),and multiple organ failure(2 cases,28. 6%). One patient died while on ECMO support,2 patients died after successfully weaned from ECMO,among them one died from severe bleeding and the other two died from multiple organ failure. The other 4(57. 1%) cases were successfully weaned from ECMO and survived to discharge. Conclusions: Critically ill cardiac patients with an initial unstable hemodynamic status could benefit from ECMO support,which may be beneficial as a temporaly support for heart function or lung function,and subsequent leading to organ recovery. Attempts to reduce the occurence of complications might improve the prognosis of critically ill cardiac patients.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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