30-Day perioperative mortality following venoarterial extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock in patients with normal preoperative ejection fraction.
Priya R MenonAnna Flo FornerMateo Marin-CuartasSven LehmannDiyar SaeedAndré GintherMichael A BorgerJörg EnderPublished in: Interactive cardiovascular and thoracic surgery (2021)
Mortality rates of VA-ECMO in PCCS patients are high, even in those with preoperative normal LVEF. Coronary problems are an important cause of PCCS; however, the aetiology remains unknown in the vast majority of the cases. The implantation of VA-ECMO before development of tissue hypoperfusion and the control of VA-ECMO-associated complications are the most important prognostic factors in PCCS patients. Lactate levels may help guide timing of VA-ECMO implantation and define the extent of therapeutic effort.
Keyphrases
- extracorporeal membrane oxygenation
- ejection fraction
- acute respiratory distress syndrome
- prognostic factors
- respiratory failure
- end stage renal disease
- aortic stenosis
- newly diagnosed
- chronic kidney disease
- patients undergoing
- risk factors
- mechanical ventilation
- cardiovascular events
- heart failure
- coronary artery disease
- intensive care unit
- mental health
- peritoneal dialysis
- type diabetes
- cardiac surgery
- atrial fibrillation
- cognitive impairment