Extracorporeal Membrane Oxygenation in Pulmonary Endarterectomy Patients

Journal of Cardiothoracic and Vascular Anesthesia
Marta KelavaAndrej Alfirevic

Abstract

To investigate short-term outcomes in patients with chronic thromboembolic pulmonary hypertension (CTEPH) presenting for pulmonary endarterectomy (PEA) and requiring extracorporeal membrane oxygenation (ECMO) during the perioperative period. Retrospective observational case series involving patients who underwent PEA for CTEPH, with focus on a subpopulation requiring perioperative ECMO support. Single academic tertiary center. Patients who underwent PEA for CTEPH between January 1997 and December 2015 and required ECMO support. PEA for CTEPH with ECMO support at any time during the perioperative period. A total of 150 patients underwent PEA for CEPTH during the study period. Of the 150 patients, 14 (9.3%) required ECMO support and (43%) survived, were discharged, and were alive at the time of the review. A total of 8 (57%) ECMO patients died during hospitalization. Although indications and type of support changed in some patients during their hospital course, the majority of patients required venovenous ECMO support for hypoxia (N = 9) versus venoarterial ECMO for hemodynamic support (N = 5) as initial indication. The mean length of stay among survivors was 42.2 ± 22 days. Severe RV dysfunction was present preoperatively among ...Continue Reading

Citations

May 1, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Alexander M SchurmanLyle D Joyce
Aug 24, 2021·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Marc de PerrotWilliam R Auger

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