Venovenous ECMO treatment, outcomes, and complications in adults according to large case series: A systematic review

被引：32
作者：
Kim, Jun Hyun [1 ]
Pieri, Marina [2 ]
Landoni, Giovanni [2 ,3 ]
Scandroglio, Anna Mara [2 ]
Calabro, Maria Grazia [2 ]
Fominskiy, Evgeny [2 ]
Lembo, Rosalba [2 ]
Heo, Min Hee [1 ]
Zangrillo, Alberto [2 ,3 ]
机构：
[1] Inje Univ, Ilsan Paik Hosp, Dept Anesthesiol & Pain Med, Goyang, South Korea
[2] IRCCS San Raffaele Sci Inst, Dept Anesthesia & Intens Care, Via Olgettina 60, I-20132 Milan, Italy
[3] Univ Vita Salute San Raffaele, Milan, Italy
来源：
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS | 2021年 / 44卷 / 07期
关键词：
Acute respiratory distress syndrome; pneumonia; venovenous extracorporeal membrane oxygenation; COVID-19; EXTRACORPOREAL MEMBRANE-OXYGENATION; RESPIRATORY-FAILURE PATIENTS; MORTALITY; RETRIEVAL; IMPACT; INJURY; ARDS;
D O I：
10.1177/0391398820975408
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
Background: Venovenous extracorporeal membrane oxygenation (VV ECMO) has gained popularity for the treatment of refractory respiratory failure during and after the 2009 influenza pandemic, and still represents a precious therapeutic resource for severe novel coronavirus 2019 infection. However, most of the published studies are small case series, and only two randomized trials exist in literature. Aim: Aim of this systematic review is to describe trends in VV ECMO treatment outcomes according to large studies only. Methods: We searched and included studies with more than 100 VV ECMO cases dated up to August 1st, 2019. Results: Thirty-three studies published in the period 2011-2019 met inclusion criteria, for a total of 12,860 patients (age 46.3 +/- 17.4 years). ARDS was mainly by pneumonia, in 3126 (37%) cases; further 401(7%) patients had H1N1 Influenza A infection. Cannulation-related complications occurred in 502 (7%) cases. Weighted mean (95% confidence interval) of VV ECMO duration was 8.9 (8.7-9.1) days, and ICU stay was 23.6 (22.4-24.8) days. Mortality at the longest follow up available was 40%. Data collection in 70% of the studies had a duration of >5 years. Conclusion: This study reveals the characteristics of large case VV ECMO studies.
引用
收藏
页码：481 / 488
页数：8
相关论文
共 45 条
[1]   Intracranial Hemorrhage and Early Mortality in Patients Receiving Extracorporeal Membrane Oxygenation for Severe Respiratory Failure [J].
Arachchillage, Deepa R. J. ;
Passariello, Maurizio ;
Laffan, Michael ;
Aw, T. C. ;
Owen, Leah ;
Banya, Winston ;
Trimlett, Richard ;
Morgan, Cliff ;
Patel, Brijesh V. ;
Pepper, John ;
Ledot, Stephane .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2018, 44 (03) :276-286
[2]   Retrieval of critically ill adults using extracorporeal membrane oxygenation: the nine-year experience in New South Wales [J].
Austin, D. E. ;
Burns, B. ;
Lowe, D. ;
Cartwright, B. ;
Clarke, A. ;
Dennis, M. ;
D'Souza, M. ;
Nathan, R. ;
Bannon, P. G. ;
Gattas, D. ;
Connellan, M. ;
Forrest, P. .
ANAESTHESIA AND INTENSIVE CARE, 2018, 46 (06) :579-588
[3]   Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure [J].
Bartlett, Robert H. ;
Ogino, Mark T. ;
Brodie, Daniel ;
McMullan, David M. ;
Lorusso, Roberto ;
MacLaren, Graeme ;
Stead, Christine M. ;
Rycus, Peter ;
Fraser, John F. ;
Belohlavek, Jan ;
Salazar, Leonardo ;
Mehta, Yatin ;
Raman, Lakshmi ;
Paden, Matthew L. .
ASAIO JOURNAL, 2020, 66 (05) :472-474
[4]  
Bland JM, 1998, BRIT MED J, V316, P129
[5]   Serial Lactate Measurements as a Prognostic Tool in Venovenous Extracorporeal Membrane Oxygenation Support [J].
Bonizzoli, Manuela ;
Lazzeri, Chiara ;
Cianchi, Giovanni ;
Boddi, Maria ;
Cozzolino, Morena ;
Di Valvasone, Simona ;
Terenzi, Paolo ;
Batacchi, Stefano ;
Chiostri, Marco ;
Peris, Adriano .
ANNALS OF THORACIC SURGERY, 2017, 103 (03) :812-819
[6]   Retrieval of severe acute respiratory failure patients on extracorporeal membrane oxygenation: Any impact on their outcomes? [J].
Brechot, Nicolas ;
Mastroianni, Ciro ;
Schmidt, Matthieu ;
Santi, Francesca ;
Lebreton, Guillaume ;
Hoareau, Anne-Marie ;
Luyt, Charles-Edouard ;
Chommeloux, Juliette ;
Rigolet, Marina ;
Lebbah, Said ;
Hekimian, Guillaume ;
Leprince, Pascal ;
Combes, Alain .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2018, 155 (04) :1621-+
[7]  
Burrell A J C, 2017, Crit Care Resusc, V19, P37
[8]   Support time-dependent outcome analysis for veno-venous extracorporeal membrane oxygenation [J].
Camboni, Daniele ;
Philipp, Alois ;
Lubnow, Matthias ;
Bein, Thomas ;
Haneya, Assad ;
Diez, Claudius ;
Schmid, Christof ;
Mueller, Thomas .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2011, 40 (06) :1341-1347
[9]   Developing a simple preinterventional score to predict hospital mortality in adult venovenous extracorporeal membrane oxygenation A pilot study [J].
Cheng, Yu-Ting ;
Wu, Meng-Yu ;
Chang, Yu-Sheng ;
Huang, Chung-Chi ;
Lin, Pyng-Jing .
MEDICINE, 2016, 95 (30)
[10]   Dynamic driving pressure associated mortality in acute respiratory distress syndrome with extracorporeal membrane oxygenation [J].
Chiu, Li-Chung ;
Hu, Han-Chung ;
Hung, Chen-Yiu ;
Chang, Chih-Hao ;
Tsai, Feng-Chun ;
Yang, Cheng-Ta ;
Huang, Chung-Chi ;
Wu, Huang-Pin ;
Kao, Kuo-Chin .
ANNALS OF INTENSIVE CARE, 2017, 7
12345