Extracorporeal life support (ECLS) post-cardiotomie, le site de canulation a-t-il une importance sur les résultats ?
| Autor: | Diagne, Papa Amath, D'Ostrevy, Nicolas, Lambert, Céline, Geoffroy, Étienne, Eljezi, Vedat, Médard, Anne, Farhat, Mehdi, Innorta, Andréa, Miguel, Bruno, Legault, Benoît, Azarnoush, Kasra, Camilleri, Lionel |
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| Rok vydání: | 2018 |
| Předmět: | |
| DOI: | 10.24399/jctcv22-1-dia |
| Popis: | JCTCV:22(1) Objectives: Extracorporeal life support (ECLS) is part of the therapeutic arsenal for post-cardiotomy refractory cardiogenic shock. We report the experience of our center between 2005 and 2015 with the main objective of comparing central and peripheral ECLS. Results: ECLS was present in 34 patients (61.8%) and peripheral in 21 (38.2%). The age and Euroscore II were similar between groups. There were more redux and gestures on the aorta and the tricuspid valve in the peripheral group. Intraoperative implantation was predominant in the central group and postoperative implantation in the peripheral group (p = 0.01). The hospital stay was longer in the central group (p = 0.05), and this group had a higher proportion of patients weaned from the ECLS (67.7%) and discharged alive (38.2%). Significant factors for poor prognosis included patient age, emergency and elevated postoperative levels of troponins and lactates. Conclusion: The option of central cannulation should not be systematically ruled out, as it could increase survival. The factors that determine the outcomes are postoperative troponin and lactate levels. |
| Databáze: | OpenAIRE |
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