Use of Extracorporeal Membrane Oxygenation for Optimal Organ Donation.
10.4266/kjccm.2014.29.3.194
- Author:
Jeong Hoon YANG
1
;
Yang Hyun CHO
;
Chi Ryang CHUNG
;
Kyeongman JEON
;
Chi Min PARK
;
Gee Young SUH
Author Information
1. Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gy.suh@samsung.com
- Publication Type:Case Report
- Keywords:
brain death;
extracorporeal membrane oxygenation
- MeSH:
Adult;
Brain Death;
Cardiopulmonary Resuscitation;
Coronary Angiography;
Coronary Vessels;
Drug-Eluting Stents;
Emergency Service, Hospital;
Extracorporeal Membrane Oxygenation*;
Hemodynamics;
Humans;
Kidney;
Liver;
Male;
Organ Preservation;
Out-of-Hospital Cardiac Arrest;
Oxygen;
Tissue and Organ Harvesting;
Tissue and Organ Procurement*;
Tissue Donors;
Ventricular Fibrillation
- From:The Korean Journal of Critical Care Medicine
2014;29(3):194-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of extracorporeal membrane oxygenation (ECMO) support for donor organ preservation in a brain-dead patient following out-of-hospital cardiac arrest. A 43-year-old male patient was referred to the emergency department after an out-of-hospital cardiac arrest caused by ventricular fibrillation. Spontaneous circulation was restored after 8 minutes of cardiopulmonary resuscitation. ECMO was implemented because of hemodynamic deterioration. The patient then underwent coronary angiography and was implanted with a drug-eluting stent because of occlusion at the proximal portion of the right coronary artery. After 144 hours, brain death was established, and ECMO support for optimal oxygen delivery was sustained until organ retrieval after consent for donation was received from the family. Liver and kidneys were successfully transplanted to three recipients, respectively.
