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

Valeria Lo Coco; Roberto Lorusso; Giuseppe M. Raffa; Pietro Giorgio Malvindi; Michele Pilato; Gennaro Martucci; Antonio Arcadipane; Kamil Zielinski; Piotr Suwalski; Mariusz Kowalewski

doi:10.21037/jtd.2018.11.103

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

Valeria Lo Coco, Roberto Lorusso, Giuseppe M. Raffa, Pietro Giorgio Malvindi, Michele Pilato, Gennaro Martucci, Antonio Arcadipane, Kamil Zielinski, Piotr Suwalski, Mariusz Kowalewski^*

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	6993-7004
Number of pages	12
Journal	Journal of Thoracic Disease
Volume	10
Issue number	12
DOIs	https://doi.org/10.21037/jtd.2018.11.103
Publication status	Published - 1 Dec 2018

Keywords

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

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Lo Coco, V., Lorusso, R., Raffa, G. M., Malvindi, P. G., Pilato, M., Martucci, G., Arcadipane, A., Zielinski, K., Suwalski, P., & Kowalewski, M. (2018). Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille’s heel. Journal of Thoracic Disease, 10(12), 6993-7004. https://doi.org/10.21037/jtd.2018.11.103

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title = "Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille{\textquoteright}s heel",

abstract = "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.",

keywords = "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",

author = "{Lo Coco}, Valeria and Roberto Lorusso and Raffa, {Giuseppe M.} and Malvindi, {Pietro Giorgio} and Michele Pilato and Gennaro Martucci and Antonio Arcadipane and Kamil Zielinski and Piotr Suwalski and Mariusz Kowalewski",

year = "2018",

month = dec,

day = "1",

doi = "10.21037/jtd.2018.11.103",

language = "English",

volume = "10",

pages = "6993--7004",

journal = "Journal of Thoracic Disease",

issn = "2072-1439",

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Lo Coco, V, Lorusso, R, Raffa, GM, Malvindi, PG, Pilato, M, Martucci, G, Arcadipane, A, Zielinski, K, Suwalski, P & Kowalewski, M 2018, 'Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille’s heel', Journal of Thoracic Disease, vol. 10, no. 12, pp. 6993-7004. https://doi.org/10.21037/jtd.2018.11.103

Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille’s heel. / Lo Coco, Valeria; Lorusso, Roberto; Raffa, Giuseppe M. et al.
In: Journal of Thoracic Disease, Vol. 10, No. 12, 01.12.2018, p. 6993-7004.

Research output: Contribution to journal › (Systematic) Review article › peer-review

TY - JOUR

T1 - Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock

T2 - still the achille’s heel

AU - Lo Coco, Valeria

AU - Lorusso, Roberto

AU - Raffa, Giuseppe M.

AU - Malvindi, Pietro Giorgio

AU - Pilato, Michele

AU - Martucci, Gennaro

AU - Arcadipane, Antonio

AU - Zielinski, Kamil

AU - Suwalski, Piotr

AU - Kowalewski, Mariusz

PY - 2018/12/1

Y1 - 2018/12/1

N2 - 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.

AB - 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.

KW - Extracorporeal life support (ECLS)

KW - extracorporeal membrane oxygenation (ECMO)

KW - mechanical circulatory support (MCS)

KW - POSTCARDIOTOMY CARDIOGENIC-SHOCK

KW - LIFE-SUPPORT

KW - INTRACRANIAL HEMORRHAGE

KW - VASCULAR COMPLICATIONS

KW - NEUROLOGIC COMPLICATIONS

KW - CARDIAC-FAILURE

KW - ADULT PATIENTS

KW - NOSOCOMIAL INFECTIONS

KW - MICROEMBOLIC SIGNALS

KW - FEMORAL CANNULATION

U2 - 10.21037/jtd.2018.11.103

DO - 10.21037/jtd.2018.11.103

M3 - (Systematic) Review article

C2 - 30746245

SN - 2072-1439

VL - 10

SP - 6993

EP - 7004

JO - Journal of Thoracic Disease

JF - Journal of Thoracic Disease

IS - 12

ER -

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

Abstract

Keywords

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