Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille's heel

被引：80

作者：

Lo Coco, Valeria ^{[1
,2
]}

Lorusso, Roberto ^{[1
]}

Raffa, Giuseppe M. ^{[1
,2
]}

Malvindi, Pietro Giorgio ^{[3
]}

Pilato, Michele ^{[2
]}

Martucci, Gennaro ^{[4
]}

Arcadipane, Antonio ^{[4
]}

Zielinski, Kamil ^{[5
]}

Suwalski, Piotr ^{[6
,7
]}

Kowalewski, Mariusz ^{[6
,8
]}

机构：

[1] Maastricht Univ, Med Ctr, Heart & Vasc Ctr, Dept Cardiothorac Surg, Maastricht, Netherlands

[2] IRCCS, ISMETT, Ist Mediterraneo Trapianti & Terapie Alta Special, Dept Treatment & Study Cardiothorac Dis & Cardiot, Palermo, Italy

[3] Santa Maria Hosp, GVM Care & Res, Cardiac Surg Unit, Bari, Italy

[4] IRCCS, ISMETT, Dept Anaesthesia & Intens Care, Palermo, Italy

[5] Warsaw Med Univ, Warsaw, Poland

[6] Minist Interior, Cent Clin Hosp, Clin Dept Cardiac Surg, Warsaw, Poland

[7] Ctr Postgrad Med Educ, Clin Dept Cardiac Surg, Warsaw, Poland

[8] Innovat Med Forum, Cardiothorac Res Ctr, Bydgoszcz, Poland

来源：

JOURNAL OF THORACIC DISEASE | 2018年 / 10卷 / 12期

关键词：

Extracorporeal life support (ECLS); extracorporeal membrane oxygenation (ECMO); mechanical circulatory support (MCS); POSTCARDIOTOMY CARDIOGENIC-SHOCK; LIFE-SUPPORT; INTRACRANIAL HEMORRHAGE; VASCULAR COMPLICATIONS; NEUROLOGIC COMPLICATIONS; CARDIAC-FAILURE; ADULT PATIENTS; NOSOCOMIAL INFECTIONS; MICROEMBOLIC SIGNALS; FEMORAL CANNULATION;

D O I：

10.21037/jtd.2018.11.103

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Extracorporeal membrane oxygenation (ECMO) is life-saving for potentially reversible heart failure and respiratory injuries not responsive to conventional therapies. Technological innovations have produced over the years significant improvements in ECMO devices (pump, cannula design and oxygenator) and have allowed a better risk/benefit profile. Alongside with recognized advantages in the treatment of very sick patients, ECMO remains an invasive procedure for mechanical circulatory support (MCS) and it is associated with complications that strongly influence the prognosis. Current review was designed to provide a comprehensive outline on ECMO complications, analyzing risk factors and strategies of management, focusing on adult population undergoing veno-arterial ECMO (VA-ECMO) therapy.

引用

页码：6993 / 7004

页数：12

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