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Salvage Peripheral Extracorporeal Membrane Oxygenation Using Cobe Revolution (R) Centrifugal Pump as a Bridge to Decision for Acute Refractory Cardiogenic Shock
Journal article   Peer reviewed

Salvage Peripheral Extracorporeal Membrane Oxygenation Using Cobe Revolution (R) Centrifugal Pump as a Bridge to Decision for Acute Refractory Cardiogenic Shock

Robert J. Moraca, Kelly M. Wanamaker, Stephen H. Bailey, Walter E. McGregor, Srinivas Murali, Raymond Benza, George Sokos and George J. Magovern
Journal of cardiac surgery, v 27(4), pp 521-527
Jul 2012
DOI: https://doi.org/10.1111/j.1540-8191.2012.01467.x
PMID: 22616563
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1111/j.1540-8191.2012.01467.xView
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Abstract

Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Science & Technology Surgery
Objectives: Acute refractory cardiogenic shock with early multisystem organ failure has a poor outcome without mechanical circulatory support. We review our experience with emergent peripheral cardiopulmonary support as a bridge to decision in these patients. Methods: A retrospective review from January 2009 through December 2010 was conducted of 26 consecutive adult patients at a single institution with acute refractory cardiogenic shock who underwent salvage peripheral cardiopulmonary support. Results: There were 18 men and 8 women with a mean age of 54 years (range 18 to 76). Indications for support: acute myocardial infarction (n = 16), decompensated chronic heart failure (n = 2), refractory arrhythmic arrest (n = 3), acute valvular pathology (n = 4), and unknown (n = 1). Patients with primary postcardiotomy shock were excluded. Median duration of support was 3 days (range 1 to 14). Decisions included: withdraw of support (n = 4), recovery (n = 5), and bridge to a procedure (n = 17). The procedures were percutaneous coronary intervention (n = 4), left ventricular assist device (n = 9), heart transplantation (n = 1), and miscellaneous cardiac surgery (n = 3). Overall survival to discharge was 65%. In the recovery and bridge to a procedure group, 78% were discharged from the hospital and survival at three months was 72%. Conclusions: Salvage peripheral cardiopulmonary support is a useful tool to rapidly stabilize acute refractory cardiogenic shock permitting an assessment of neurologic and end-organ viability. doi: 10.1111/j.1540-8191.2012.01467.x (J Card Surg 2012;27:521-527)

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Web of Science research areas
Cardiac & Cardiovascular Systems
Surgery
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