Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides temporary mechanical circulatory support in patients with refractory cardiogenic shock, allowing time for cardiac recovery. Levosimendan is a calcium sensitizer with inotropic and vasodilatory effects used in the treatment of severe heart failure. It does not increase myocardial oxygen consumption. Its maximum hemodynamic response is seen 24-48 h after stopping infusion, but its effects can persist for 7-9 d owing to active metabolites. We sought to investigate whether the use of levosimendan improves weaning outcomes in patients on VA-ECMO. Six consecutive patients with cardiogenic shock were placed on femorofemoral VA-ECMO support and received levosimendan 24 h before the planned weaning (group A). As control group (group B), we retrospectively reviewed the VA-ECMO implanted at our institution before the introduction of the levosimendan protocol. These patients received only traditional inotropes. The weaning rate was 83.33% in group A and 27.3% in group B. The survival rate was 66.66% and 36.4%, respectively. In group A, three of six patients (50%) required inotropic/vasopressor support after ECMO cessation, while in group B 11 of 11 patients (100%) required support. In our case series, pretreatment with levosimendan seems to facilitate weaning from VA-ECMO, reducing the need for high-dose inotropes.
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Combes, Alain
Leprince, Pascal
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h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Leprince, Pascal
Luyt, Charles-Edouard
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h-index: 0
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Luyt, Charles-Edouard
Bonnet, Nicolas
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Bonnet, Nicolas
Trouillet, Jean-Louis
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Trouillet, Jean-Louis
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机构:
Leger, Philippe
Pavie, Alain
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Hei, Feilong
Lou, Song
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Lou, Song
Li, Jingwen
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Li, Jingwen
Yu, Kun
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Yu, Kun
Liu, Jinping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Jinping
Feng, Zhengyi
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Feng, Zhengyi
Zhao, Ju
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Zhao, Ju
Hu, Shengshou
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Hu, Shengshou
Xu, Jianping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Xu, Jianping
Chang, Qian
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Chang, Qian
Liu, Yinglong
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Yinglong
Wang, Xu
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Intens Care Unit, Beijing 100037, Peoples R China
Fu Wai Hosp, CAMS, Beijing, Peoples R China
PUMC, Beijing, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Wang, Xu
Liu, Ping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Intens Care Unit, Beijing 100037, Peoples R China
Fu Wai Hosp, CAMS, Beijing, Peoples R China
PUMC, Beijing, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Ping
Long, Cun
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
机构:
Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Landoni, Giovanni
Mizzi, Anna
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Mizzi, Anna
Biondi-Zoccai, Giuseppe
论文数: 0引用数: 0
h-index: 0
机构:
Univ Turin, Div Cardiol, Turin, ItalyUniv Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Biondi-Zoccai, Giuseppe
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机构:
Bruno, Giovanna
Bignami, Elena
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Bignami, Elena
Corno, Laura
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Corno, Laura
Zambon, Massimo
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Zambon, Massimo
Gerli, Chiara
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Gerli, Chiara
Zangrillo, Alberto
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Combes, Alain
Leprince, Pascal
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Leprince, Pascal
Luyt, Charles-Edouard
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Luyt, Charles-Edouard
Bonnet, Nicolas
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Bonnet, Nicolas
Trouillet, Jean-Louis
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
Trouillet, Jean-Louis
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Leger, Philippe
Pavie, Alain
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris 06, Serv Chirurgie Cardiaque, Hop La Pitie Salpetriere, AP HP, Paris, FranceUniv Paris 06, Serv Reanimat Med, Hop La Pitie Salpetriere, AP HP, Paris, France
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Hei, Feilong
Lou, Song
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Lou, Song
Li, Jingwen
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Li, Jingwen
Yu, Kun
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Yu, Kun
Liu, Jinping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Jinping
Feng, Zhengyi
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Feng, Zhengyi
Zhao, Ju
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Zhao, Ju
Hu, Shengshou
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Hu, Shengshou
Xu, Jianping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Xu, Jianping
Chang, Qian
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Chang, Qian
Liu, Yinglong
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiac Surg, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Yinglong
Wang, Xu
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Intens Care Unit, Beijing 100037, Peoples R China
Fu Wai Hosp, CAMS, Beijing, Peoples R China
PUMC, Beijing, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Wang, Xu
Liu, Ping
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Intens Care Unit, Beijing 100037, Peoples R China
Fu Wai Hosp, CAMS, Beijing, Peoples R China
PUMC, Beijing, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
Liu, Ping
Long, Cun
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R ChinaCardiovasc Inst, Dept Cardiopulm Bypass, Beijing 100037, Peoples R China
机构:
Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Landoni, Giovanni
Mizzi, Anna
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Mizzi, Anna
Biondi-Zoccai, Giuseppe
论文数: 0引用数: 0
h-index: 0
机构:
Univ Turin, Div Cardiol, Turin, ItalyUniv Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Biondi-Zoccai, Giuseppe
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机构:
Bruno, Giovanna
Bignami, Elena
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Bignami, Elena
Corno, Laura
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Corno, Laura
Zambon, Massimo
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Zambon, Massimo
Gerli, Chiara
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
Gerli, Chiara
Zangrillo, Alberto
论文数: 0引用数: 0
h-index: 0
机构:Univ Vita Salute San Raffaele, Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy