Venoarterial extracorporeal mebrane oxygenation in the cardiology intensive care unit of the University Hospital Centre Rijeka

    Authors

    Keywords

    extracorporeal membrane oxygenation, cardiogenic shock, complications

    DOI

    https://doi.org/10.15836/ccar2018.475

    Full Text

    Extracorporeal Membrane Oxygenation (ECMO) is an extracorporeal technique of providing prolonged cardiac and respiratory support that is used in patients with life-threatening forms of heart or lung failure. There are two basic forms of ECMO support: venous-venous (V-V) and venous-arterial (V-A) ECMO. ( 1 , 2 ) This paper presents experience with the use of veno-arterial extracorporeal membrane oxygenation (VA ECMO). Since 2017, peripheral VA ECMO support has been applied in 16 patients (14 men and 2 women). The most common indication for application is cardiogenic shock (62.5%). The average time period spent on the VA ECMO is 64 hours. Of the reported complications, the most common is bleeding (mostly at the canulation site) which is present in 56.2% of cases. Of the total number of patients, 13 (81.3%) were successfully separated from ECMO support, and 9 (56.3%) survived untill the discharge or untill the transfer to another institution. The application of the VA ECMO in the cardiology intensive care unit has greatly improved the chances of survival of the most critical patients.

    Cardiologia Croatica
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    Venoarterial extracorporeal mebrane oxygenation in the cardiology intensive care unit of the University Hospital Centre Rijeka

    Extended Abstract
    Issue11-12
    Published
    Pages475
    PDF via DOIhttps://doi.org/10.15836/ccar2018.475
    extracorporeal membrane oxygenation
    cardiogenic shock
    complications

    Authors

    Sanda Surina*ORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Ana TraubUniversity Hospital Centre Rijeka, Rijeka, Croatia

    Full Text

    Extracorporeal Membrane Oxygenation (ECMO) is an extracorporeal technique of providing prolonged cardiac and respiratory support that is used in patients with life-threatening forms of heart or lung failure. There are two basic forms of ECMO support: venous-venous (V-V) and venous-arterial (V-A) ECMO. ( 1 , 2 ) This paper presents experience with the use of veno-arterial extracorporeal membrane oxygenation (VA ECMO). Since 2017, peripheral VA ECMO support has been applied in 16 patients (14 men and 2 women). The most common indication for application is cardiogenic shock (62.5%). The average time period spent on the VA ECMO is 64 hours. Of the reported complications, the most common is bleeding (mostly at the canulation site) which is present in 56.2% of cases. Of the total number of patients, 13 (81.3%) were successfully separated from ECMO support, and 9 (56.3%) survived untill the discharge or untill the transfer to another institution. The application of the VA ECMO in the cardiology intensive care unit has greatly improved the chances of survival of the most critical patients.