PMID: 8947449Dec 1, 1996Paper

Extracorporeal membrane oxygenation support for postcardiotomy cardiogenic shock

Artificial Organs
S S WangS H Chu

Abstract

Extracorporeal membrane oxygenation (ECMO) has had promising results in life-threatening respiratory failure and postcardiotomy cardiogenic failure. From October 1994 to October 1995, 18 patients received 19 ECMOs at National Taiwan University Hospital for severe cardiogenic shock after cardiac surgery. They included patients receiving cardiac massage or repeated bolus injections of norepinephrine to maintain blood pressure (n = 10), patients who could not be weaned off cardiopulmonary bypass after several attempts despite intraaortic balloon pumping and maximal doses of catecholamine (n = 7), and patients with progressive intractable cardiogenic shock after cardiac surgery. Venoarterial ECMO was set up via femoral artery (17 or 19 Fr cannula) and vein (19 or 21 Fr) in all patients except 2 infants. No left heart drainage was performed in any of the patients. The heparin-coated circuit (with Carmeda Bio-active Surface) was used in the last 13 patients to reduce bleeding. Ten (52.6%) of the 19 cases could be smoothly weaned off ECMO, and 6 (33.3%) of the 18 patients were discharged from the hospital in good condition. Four (80%) of the 5 patients after valvular surgery and all 3 heart transplant patients could be weaned off ECMO...Continue Reading

References

Apr 1, 1992·The Annals of Thoracic Surgery·H L AndersonR H Bartlett
Jan 1, 1983·Biomaterials, Medical Devices, and Artificial Organs·O LarmP Olsson
Sep 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·D D MuehrckeD M Cosgrove
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Citations

Nov 24, 1999·Artificial Organs·B P FuhrmanE R Rosenkranz
Feb 15, 2016·General Thoracic and Cardiovascular Surgery·Shinichi FukuharaHiroo Takayama
Jun 3, 2004·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Louis SamuelsRobert Promisloff
May 9, 2014·Texas Heart Institute Journal·Derek M NusbaumBiswajit Kar
Oct 13, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Yih-Sharng ChenHsi-Yu Yu

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