The application of extracorporeal membrane oxygenation for surgical treatment of coronary artery disease.
- Author:
Xiao-Lei YAN
1
;
Qun LI
;
Yang YU
;
Xiao-Tong HOU
;
Yong YANG
;
Jiu-He WAN
;
Ming JIA
;
Xu MENG
;
Shi-Jie JIA
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Coronary Artery Bypass; Coronary Artery Bypass, Off-Pump; Coronary Artery Disease; surgery; therapy; Extracorporeal Membrane Oxygenation; Female; Humans; Intensive Care Units; Length of Stay; Male; Middle Aged; Postoperative Care; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(24):1714-1716
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the results and experiences on extracorporeal membrane oxygenation (ECMO) for post-cardiac surgery of coronary artery disease.
METHODSFrom June 2004 to November 2006, sixteen patients with the mean age of (58 +/- 11) years old undergoing cardiac surgical procedures were placed on ECMO using a heparin-bonded circuit. Fourteen patients were male and two patients were female. Thirteen patients underwent on pump coronary artery bypass surgery (CABG) and three patients underwent off-pump coronary artery bypass grafting. The duration of ECMO support, stay of intensive care unit (ICU stay), complications and turnovers were recorded.
RESULTSThe mean duration of ECMO support was 51 hours, and the mean duration of ICU stay was 5 days. Thirteen patients (81.3%) were successfully weaned form ECMO, ten patients (62.5%) were discharged from hospital. The main complications were bleeding, infection, renal failure and ischemia of the lower limbs with the incidence of 18.8%, 37.5%, 25% and 18.8% respectively.
CONCLUSIONECMO is an acceptable technique for shortterm treatment of refractory low cardiac output after cardiac surgery of coronary artery disease.
