| Popis: |
Background Cardiac arrest has been a great threat, regardless of its occurrence in or out of the hospital (OHCA and IHCA). ECMO has been regarded as the last resort to save these endangering lives. This prospective cohort intended to clarify how ECMO-assisted CPR (ECPR) benefited patients of cardiac arrests, both OHCA and IHCA, and addressed the survival benefit of left ventricular decompression. Methods Consecutive patients of OHCA and IHCA, refractory to resuscitation and without certain exclusion criteria for mechanical support, were enrolled since 2018. Primary endpoint was in-hospital mortality. Results From 2018 Jan. to 2021 Mar., 147 patients of both OHCA and IHCA were put on ECPR. Acute coronary syndrome took 63.3%. Rate of weaning-off from ECMO/modified LVAD was 45.6%, and the in-hospital mortality rate was 67.3%. Peak serum lactate (10.9 ± 5.5 vs. 16.4 ± 7.7 mmol/L, p |
