Postcardiotomy venoarterial extracorporeal membrane oxygenation with and without intra-aortic balloon pump
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F22%3A00083488" target="_blank" >RIV/00023001:_____/22:00083488 - isvavai.cz</a>
Result on the web
<a href="https://reader.elsevier.com/reader/sd/pii/S1053077022001173?token=3CC3969287341A34230F4C9D14597752BDB00D0C692502C975302B5BAFD5255442E7A6E7AAFA624A47E42C6BEA6D9A48&originRegion=eu-west-1&originCreation=20230110074002" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S1053077022001173?token=3CC3969287341A34230F4C9D14597752BDB00D0C692502C975302B5BAFD5255442E7A6E7AAFA624A47E42C6BEA6D9A48&originRegion=eu-west-1&originCreation=20230110074002</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1053/j.jvca.2022.02.006" target="_blank" >10.1053/j.jvca.2022.02.006</a>
Alternative languages
Result language
angličtina
Original language name
Postcardiotomy venoarterial extracorporeal membrane oxygenation with and without intra-aortic balloon pump
Original language description
Objectives: To compare the outcomes of patients with postcardiotomy shock treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO) only compared with VA-ECMO and intra-aortic balloon pump (IABP). Design: A retrospective multicenter registry study. Setting: At 19 cardiac surgery units. Participants: A total of 615 adult patients who required VA-ECMO from 2010 to 2018. The patients were divided into 2 groups depending on whether they received VA-ECMO only (ECMO only group) or VA-ECMO plus IABP (ECMO-IABP group). Measurements and Main Results: The overall series mean age was 63 +/- 13 years, and 33% were female. The ECMO-only group included 499 patients, and 116 patients were in the ECMO-IABP group. Urgent and/or emergent procedures were more common in the ECMO-only group. Central cannulation was performed in 47% (n = 54) in the ECMO-IABP group compared to 27% (n = 132) in the ECMO-only group. In the ECMOIABP group, 58% (n = 67) were successfully weaned from ECMO, compared to 46% (n = 231) in the ECMO-only group (p = 0.026). However, inhospital mortality was 63% in the ECMO-IABP group compared to 65% in the ECMO-only group (p = 0.66). Among 114 propensity score-matched pairs, ECMO-IABP group had comparable weaning rates (57% v 53%, p = 0.51) and in-hospital mortality (64% v 58%, p = 0.78). Conclusions: This multicenter study showed that adjunctive IABP did not translate into better outcomes in patients treated with VA-ECMO for postcardiotomy shock. (C) 2022 The Author(s). Published by Elsevier Inc.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of cardiothoracic and vascular anesthesia
ISSN
1053-0770
e-ISSN
1532-8422
Volume of the periodical
36
Issue of the periodical within the volume
8
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
2876-2883
UT code for WoS article
000885120800007
EID of the result in the Scopus database
2-s2.0-85126560459