Predictors of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) failure: analysis of comorbidities and complications – a 10-year experience

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F25%3A10159700" target="_blank" >RIV/00098892:_____/25:10159700 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/25:A2603DN3

Result on the web

<a href="https://www.termedia.pl/Predictors-of-veno-arterial-extracorporeal-membrane-oxygenation-VA-ECMO-failure-analysis-of-comorbidities-and-complications-a-10-year-experience,40,57310,0,1.html" target="_blank" >https://www.termedia.pl/Predictors-of-veno-arterial-extracorporeal-membrane-oxygenation-VA-ECMO-failure-analysis-of-comorbidities-and-complications-a-10-year-experience,40,57310,0,1.html</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5114/kitp.2025.158037" target="_blank" >10.5114/kitp.2025.158037</a>

Result language

angličtina

Original language name

Predictors of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) failure: analysis of comorbidities and complications – a 10-year experience

Original language description

Introduction: Extracorporeal membrane oxygenation (ECMO) is a rescue method in the treatment of severe cardiac and/or respiratory failure in patients with different etiological factors of this failure and also of different ages. The question of ECMO support of patients has arisen more frequently recently, as a result of the expansion of the indication criteria for this support and the increase in the contingent of patients with severe cardiac and/or respiratory failure. Material and methods: A retrospective study was performed in patients with veno-arterial ECMO (VA-ECMO) support for cardiac or cardiorespiratory failure over a 10-year period at a single ECMO center. In this study, comorbidities and peri- and post-procedural complications were analyzed in search of predictors of failure of the method. Furthermore, the composition of treated patients was analyzed according to the indication for support and known comorbidities at the time the support was indicated. Results: The largest indication group among patients supported by VA-ECMO was those with acute coronary syndrome (n = 42), accounting for nearly 37% of the cohort. Only 22 patients in the entire cohort had no comorbidities, accounting for 19%. Complications occurred in 77 patients, accounting for nearly 68% of patients supported. Conclusions: Analysis of the results shows a correlation of survival with the incidence of infection at the cannulation site and limb ischemia. Survival at 30 days correlated with multiorgan dysfunction syndrome, cerebral edema and cannulation site infection. Survival at 90 days correlated with cannulation site infection. Survival at 12 months correlated with limb ischemia and cannulation site infection. Of the comorbidities known at the time of indication, only atrial fibrillation was correlated with 12-month survival and hospitalization mortality (significance level p = 0.049).

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Kardiochirurgia i Torakochirurgia Polska

ISSN

1731-5530

e-ISSN

1897-4252

Volume of the periodical

22

Issue of the periodical within the volume

4

Country of publishing house

PL - POLAND

Number of pages

6

Pages from-to

271-276

UT code for WoS article

001655817300005

EID of the result in the Scopus database

2-s2.0-105028125826