Effectiveness of VA-ECMO plus intra-aortic balloon pump for cardiac shock in patients with type A aortic dissection: a case series

被引:3
作者
Wu, Hui [1 ]
Chen, Pengfei [1 ]
Wei, Jinhua [1 ]
Pei, Fengbo [1 ]
Chen, Mingjian [1 ]
Zhao, Diming [1 ]
Wang, Liqing [1 ]
Pu, Jundong [2 ]
Chen, Zujun [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Cardiovasc Surg Dept, Beijing, Peoples R China
[2] Dali Bai Autonomous Prefecture Peoples Hosp, Cardiovasc Surg Dept, Dali, Peoples R China
关键词
Extracorporeal membrane pulmonary circulation; Intra-aortic balloon pump; Type a aortic dissection; Coronary artery bypass graft; EXTRACORPOREAL MEMBRANE-OXYGENATION; SUPPORT;
D O I
10.1186/s13019-023-02405-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Limited reports exist on the utilization of venoarterial extracorporeal membrane oxygenation (VA-ECMO) following aortic dissection surgery, possibly due to concerns regarding complications. This case series aimed to evaluate the effectiveness and safety of using VA-ECMO in combination with intra-aortic balloon pump (IABP) for managing postoperative cardiogenic shock in patients with type A aortic dissection (AAD). The study included nine patients with an average age of 57.0 +/- 9.5 years. The patients underwent various surgical procedures, including coronary artery bypass grafting (CABG) and aortic root reconstruction. The results showed that the combined use of VA-ECMO and IABP was feasible and effective in managing postoperative cardiogenic shock in AAD patients. However, the in-hospital mortality rate was high, with six out of nine patients succumbing to the condition. Among the patients who received VA-ECMO plus IABP in the operating room, four were successfully weaned from VA-ECMO, and three survived with a mean follow-up of 20 months. The study also highlighted the potential risks of renal complications associated with VA-ECMO and IABP. The findings suggest that the combined therapy of VA-ECMO and IABP may be beneficial for patients who have difficulty weaning from cardiopulmonary bypass (CPB) after AAD surgery.
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页数:5
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