Axillary artery cannulation for veno-arterial extracorporeal membrane oxygenation support in cardiogenic shock
| Autor: | Masashi Kai, Alan Gass, Martin Cohen, Joshua Goldberg, Stephen Pan, Ramin Malekan, Chhaya Aggarwal-Gupta, Hasan Ahmad, Avi Levine, Philip J. Spencer, David Spielvogel, Gregg M. Lanier, Steven L. Lansman, Suguru Ohira, Srihari S. Naidu |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment veno-arterial extracorporeal membrane oxygenation cannulation-related complication Femoral artery Extracorporeal PVD peripheral vascular disease Axillary artery medicine.artery Internal medicine medicine Extracorporeal membrane oxygenation Cardiopulmonary resuscitation Heart transplantation FA femoral artery Vascular disease business.industry Cardiogenic shock medicine.disease PGF primary graft failure axillary artery surgical procedures operative Adult: Mechanical Circulatory Support Cardiology Surgery business VA-ECMO veno-arterial extracorporeal membrane oxygenation AX axillary artery |
| Zdroj: | JTCVS Techniques |
| ISSN: | 2666-2507 |
| Popis: | Objective To review the outcomes of axillary artery (AX) and femoral artery (FA) cannulation for veno-arterial extracorporeal membraneous oxygenation (VA-ECMO). Methods From 2009 to 2019, 371 patients who were supported with VA-ECMO for cardiogenic shock were compared based on the arterial cannulation site: AX (n = 218) versus FA (n = 153). Results Patients in the AX group were older (61 years vs 58 years, P = .011), had a greater prevalence of peripheral vascular disease (13.8% vs 5.2%, P = .008), and were less likely to have undergone cardiopulmonary resuscitation preoperatively (18.8% vs 36.6%, P Graphical abstract A total of 371 patients who were supported with VA-ECMO for cardiogenic shock were compared based on the arterial cannulation site: axillary artery (n = 218) versus femora artery (n = 153). The outcomes were similar with regard to in-hospital outcomes, including survival to discharge (60.6% vs 56.9%), cerebrovascular accidents (12.4% vs 10.5%), and cannulation-related bleeding (15.1% vs 17%). The incidence of limb ischemia related to VA-ECMO cannulation (0% vs 10.5%), the need to switch the cannulation site (4.6% vs 14.7%), and wound complications (WC; 2.8% vs 15%) including infection and additional procedure were significantly higher in the FA group (P |
| Databáze: | OpenAIRE |
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