In-hospital refractory cardiac arrest treated with extracorporeal membrane oxygenation: A tertiary single center experience
| Autor: | Pasquale Bernardo, Gian Franco Gensini, Claudio Picariello, Serafina Valente, Andrea Sori, Chiara Lazzeri |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute coronary syndrome medicine.medical_treatment Tertiary Care Centers Extracorporeal Membrane Oxygenation Percutaneous Coronary Intervention Internal medicine Extracorporeal membrane oxygenation Humans Medicine Radiology Nuclear Medicine and imaging Hospital Mortality Cardiopulmonary resuscitation Aged Retrospective Studies business.industry Percutaneous coronary intervention Dilated cardiomyopathy Emergency department Middle Aged medicine.disease Cardiopulmonary Resuscitation Heart Arrest Pulmonary embolism Cardiac surgery Surgery Treatment Outcome Emergency Medicine Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Acute Cardiac Care. 15:47-51 |
| ISSN: | 1748-295X 1748-2941 |
| DOI: | 10.3109/17482941.2013.796385 |
| Popis: | We retrospectively assessed the experience of our tertiary care center on the use of venous-arterial extracorporeal membrane oxygenation (VA-ECMO) in 16 adult patients with refractory cardiac arrest. Cardiac arrest was due to acute coronary syndrome in 10 patients (62.5%), Takotsubo Syndrome in 1 patient (6.25%), dilated cardiomyopathy in 4 (25%) patients and massive pulmonary embolism in 1 patient (6.25%). The device was implanted in the catheterization laboratory in 14 patients (87.5%), in the operating room in 1 patient (6.25%) and in the emergency department in 1 patient (6.25%). During support, 7 patients were submitted to percutaneous coronary intervention, while coronary artery bypass grafting was performed in 1 patient, and cardiac surgery for repair of left ventricular wall rupture was performed in 1 patient. The device was successfully weaned in 6 patients (37.5%), among whom 2 patients died and 4 patients (25%) were discharged alive. In our institution 2/16 (12.5%) patients treated with VA-ECMO for refractory cardiac arrest survived to hospital discharge neurologically intact, and a good neurological function was observed in 3/16 (18.8%) at six-month follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|