Title: Extracorporeal membrane oxygenation support in acute cardiorespiratory function failure patients after coronary artery bypass grafting
Abstract: Objective:To investigate the treatment experience of extracorporeal membrane oxygenation(ECMO) support the patients of acute cardiorespiratory function failure after coronary artery bypass grafting(CABG).Method:Retrospectively analyze the clinical data of 40 patients underwent CABG supported with ECMO in cardiac intensive care unit from September 2005 to December 2008.Venoarterial bypass was instituted in 39 patients for hemodynamic failure and venovenous in one patient for hypoxemia.ECMO was established in 38 patients by cannulation of the right atrium and femoral artery,and one patient from the right atrium to ascending aorta.Result:30(75%)patients were successfully weaned from ECMO.19(47.5%) patients survived to discharge.Mean ECMO duration was 75 hours(range 8 to 301 hours) and the mean duration of ICU stay was 6 days(range 1 to 33 days).The most common complications were infection(n=19),reexploration for bleeding(n=6) and alimentary tract hemorrhage(n=7),renal failure required hemodialysis therapy(n=13),plasma leak of oxygenators(n=12),limb ischemia(n=5),neurological complication(n=3).Conclusion:ECMO is an effective mechanical assistance method for short-term treatment of postoperative cardiorespiratory failure in patients after CABG. Earlier institution of ECMO and prevent complication may improve outcome.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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