Extracorporeal Membrane Oxygenation after Cardiac Surgery: A Clinical Analysis of 27 Adult Patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

FANGYi-tan ,  GUTian-xiang , YULei

Department of Cardiovascular Surgery, The First Hospital Affiliated to China Medical University, Shenyang 110001, P.R.China;

Corresponding?author：

GUTian-xiang, Email: cmugtx@sina.com

Keywords：

Cardiac surgery; Extracorporeal membrane oxygenation; Complications; Monitoring

DOI：

10.7507/1007-4848.20160140

Video：

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Objective To summarize the experience of applying extracorporeal membrane oxygenation (ECMO) after cardiac surgery in adult patient. Methods We retrospectively analyzed the clinical data of 27 patients underwent ECMO from December 2011 to October 2013. There were 15 males and 12 females at the mean age of 51±11 years ranging from 41 to 73 years. Vein-artery perfusion was performed in all 27 patients. Results All 27 patients underwent ECMO. The mean time of using ECMO was 81.2±36.4 hours ranging from 48.0-192.0 hours. The mean time of hospital stay was 307.8±97.0 hours ranging from 168.0-480.0 hours. The rate of weaning from ECMO was 77.8% (21/27). The rate of discharge was 51.9% (14/27). The rate of perioperative mortality was 44.4% (12/27). Conclusion Effective monitoring with other supportive equipments is helpful to promote the result of ECMO.

Citation： FANGYi-tan, GUTian-xiang, YULei. Extracorporeal Membrane Oxygenation after Cardiac Surgery: A Clinical Analysis of 27 Adult Patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(6): 586-588. doi: 10.7507/1007-4848.20160140 Copy

1.	龍村, 主編. 體外膜式氧合. 第1版. 北京:人民衛生出版社, 2010. 413-414.
2.	Marasco SF, Lukas G, McDonald M, et al. Review of ECMO(extra corporeal membrane oxygenation)support in critically ill adult patients. Heart Lung Circ, 2008, 17(4):s41-47.
3.	孫麗娜, 王寧夫. 體外膜肺氧合的臨床進展. 心血管病學進展 2013, 34(3):416-419.
4.	Douflé GF, Niall D. Monitoring during extracorporeal membrane oxygenation. Curr Opin Crit Care, 2016, 22(3):230-238.
5.	Ghislaine D, Andrew R, Filio B, et al. Echocardiography for adult patients supported with extracorporeal membrane oxygenation. Crit Care, 2015, 19:326.
6.	李彤, 段大為, 趙成秀, 等. 體外膜式氧合的臨床應用. 中國胸心心血管外科臨床雜志, 2009, 16(2):149-151.
7.	袁媛, 高國棟, 龍村, 等. 107例體外膜式氧合并發癥回顧分析.心肺血管病雜志, 2010, 29 (4):296-300.
8.	Li CL, Wang H, Jia M, et al. The early dynamic behavior of lactate is linked to mortality in postcardiotomy patients with extracorporeal membrane oxygenation support:A retrospective observational study. J Thorac Cardiovasc Surg, 2015, 149(5):1445-1450.
9.	Flécher E, Anselmi A, Corbineau H, et al. Current aspects of extracorporeal membrane oxygenation in a tertiary referral centre:determinants of survival at follow-up. Eur J Cardiothorac Surg, 2014, 46(4):665-671.
10.	Li J, Long C, Lou S, et al. Venoarterial extracorporeal membrane oxygenation in adult patients:predictors of mortality. Perfusion, 2009, 24(4):225-230.
11.	杜中濤, 邢家林, 劉峰, 等. 經股動脈插管建立體外膜肺氧合嚴重下肢缺血危險因素分析. 中國體外循環雜志, 2013, 11(3):150-153.
12.	Quarti A, Iezzi F, Santoro G, et al. Femoral artery cannulation through a side graft in extracorporeal membrane oxygenation. Heart Lung Vessel, 2014, 6(2):125-127.
13.	張海波, 孟旭, 韓杰, 等. 危重癥心臟外科患者的ECMO輔助技術與IABP、CRRT、呼吸機的相互配合治療策略. 中國胸心心血管外科臨床雜志, 2014, 30(2):71-75.
14.	Ma P, Zhang Z, Song T, et al. Combining ECMO with IABP for the treatment of critically Ill adult heart failure patients. Heart Lung Circ, 2014, 23(4):363-368.
15.	Kumar TK, Zurakowski D, Dalton H, et al. Extracorporeal membrane oxygenationin postcardiotomy patients:Factors influencing outcome. J Thorac Cardiovasc Surg, 2010, 140:330-336.
16.	Santiago MJ, Sánchez A, López-Herce J, et al. The use of continuous renal replacement therapy in series with extracorporeal membrane oxygenation. Kidney Int, 2009, 76(12):1289-1292.
17.	Paden ML, Warshaw BL, Heard ML, et al. Recovery of renal function and survival after continuous renal replacement therapy during extracorporeal membrane oxygenation. Pediatr Crit Care Med, 2011, 12(2):153-158.
18.	Federico P, Marina P, Blanca A, et al. Timing and strategy for weaning from venoarterial ECMO are complex issues. J Cardiothorac Vasc Anesthes, 2015, 29(4):906-911.
19.	羅新錦, 王巍, 孫寒松, 等. 體外膜式氧合支持治療失敗原因的初步分析. 中國胸心血管外科臨床雜志, 2009, 16 (3):192-194.
20.	羅天戈, 韓杰, 王堅剛, 等. 82例成人心臟術后應用體外膜肺氧合的相關并發癥分析. 中華胸心血管外科雜志, 2013, 29(3):151-155.

1. 龍村, 主編. 體外膜式氧合. 第1版. 北京:人民衛生出版社, 2010. 413-414.
2. Marasco SF, Lukas G, McDonald M, et al. Review of ECMO(extra corporeal membrane oxygenation)support in critically ill adult patients. Heart Lung Circ, 2008, 17(4):s41-47.
3. 孫麗娜, 王寧夫. 體外膜肺氧合的臨床進展. 心血管病學進展 2013, 34(3):416-419.
4. Douflé GF, Niall D. Monitoring during extracorporeal membrane oxygenation. Curr Opin Crit Care, 2016, 22(3):230-238.
5. Ghislaine D, Andrew R, Filio B, et al. Echocardiography for adult patients supported with extracorporeal membrane oxygenation. Crit Care, 2015, 19:326.
6. 李彤, 段大為, 趙成秀, 等. 體外膜式氧合的臨床應用. 中國胸心心血管外科臨床雜志, 2009, 16(2):149-151.
7. 袁媛, 高國棟, 龍村, 等. 107例體外膜式氧合并發癥回顧分析.心肺血管病雜志, 2010, 29 (4):296-300.
8. Li CL, Wang H, Jia M, et al. The early dynamic behavior of lactate is linked to mortality in postcardiotomy patients with extracorporeal membrane oxygenation support:A retrospective observational study. J Thorac Cardiovasc Surg, 2015, 149(5):1445-1450.
9. Flécher E, Anselmi A, Corbineau H, et al. Current aspects of extracorporeal membrane oxygenation in a tertiary referral centre:determinants of survival at follow-up. Eur J Cardiothorac Surg, 2014, 46(4):665-671.
10. Li J, Long C, Lou S, et al. Venoarterial extracorporeal membrane oxygenation in adult patients:predictors of mortality. Perfusion, 2009, 24(4):225-230.
11. 杜中濤, 邢家林, 劉峰, 等. 經股動脈插管建立體外膜肺氧合嚴重下肢缺血危險因素分析. 中國體外循環雜志, 2013, 11(3):150-153.
12. Quarti A, Iezzi F, Santoro G, et al. Femoral artery cannulation through a side graft in extracorporeal membrane oxygenation. Heart Lung Vessel, 2014, 6(2):125-127.
13. 張海波, 孟旭, 韓杰, 等. 危重癥心臟外科患者的ECMO輔助技術與IABP、CRRT、呼吸機的相互配合治療策略. 中國胸心心血管外科臨床雜志, 2014, 30(2):71-75.
14. Ma P, Zhang Z, Song T, et al. Combining ECMO with IABP for the treatment of critically Ill adult heart failure patients. Heart Lung Circ, 2014, 23(4):363-368.
15. Kumar TK, Zurakowski D, Dalton H, et al. Extracorporeal membrane oxygenationin postcardiotomy patients:Factors influencing outcome. J Thorac Cardiovasc Surg, 2010, 140:330-336.
16. Santiago MJ, Sánchez A, López-Herce J, et al. The use of continuous renal replacement therapy in series with extracorporeal membrane oxygenation. Kidney Int, 2009, 76(12):1289-1292.
17. Paden ML, Warshaw BL, Heard ML, et al. Recovery of renal function and survival after continuous renal replacement therapy during extracorporeal membrane oxygenation. Pediatr Crit Care Med, 2011, 12(2):153-158.
18. Federico P, Marina P, Blanca A, et al. Timing and strategy for weaning from venoarterial ECMO are complex issues. J Cardiothorac Vasc Anesthes, 2015, 29(4):906-911.
19. 羅新錦, 王巍, 孫寒松, 等. 體外膜式氧合支持治療失敗原因的初步分析. 中國胸心血管外科臨床雜志, 2009, 16 (3):192-194.
20. 羅天戈, 韓杰, 王堅剛, 等. 82例成人心臟術后應用體外膜肺氧合的相關并發癥分析. 中華胸心血管外科雜志, 2013, 29(3):151-155.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Extracorporeal Membrane Oxygenation after Cardiac Surgery: A Clinical Analysis of 27 Adult Patients

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