ISSN: 1859 - 2872
Some complications of veno-arterial extracorporeal membrane oxygenation in cardiogenic shock patients due to acute myocarditis
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Abstract
Summary
Objective: To remark some complications of veno-arterial extracorporeal membrane oxygenation in cardiogenic shock patients due to acute myocarditis. Subject and method: A prospective study in acute myocarditis patients complicated cardiogenic shock were supported VA ECMO in Intensive Care Unit, Bach Mai Hospital from 2014 to 2018. The complications of bleeding, acute kidney injury, femoral artery thrombosis, the infection of ECMO cannula site and central nervous system were recorded during VA ECMO. Result: The most complication of bleeding cannula ECMO was 33 cases (61.5%), the rate of acute kidney injury, femoral artery thrombosis at ECMO discontinuation, the infection of ECMO cannula site were, 23 cases (42.5%), 12 cases (25.5%), respectively and 01 case of ischemic stroke. Conclusion: The complications of ECMO were cannula ECMO site bleeding, acute kidney injury and femoral artery thrombosis.
Keywords: Veno-arterial extracorporeal membrane oxygenation, acute myocarditis, cardiogenic shock.
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References
2. Cheng R, Hachamovitch R, Kittleson M et al (2014) Clinical outcomes in fulminant myocarditis requiring extracorporeal membrane oxygenation: A weighted meta-analysis of 170 patients. J Card Fail 20(6): 400-406.
3. Cheng R, Hachamovitch R et al (2014) Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest: A meta-analysis of 1,866 adult patients. Ann Thorac Surg 97(2): 610-616.
4. Hsu KH, Chi NH, Yu HY et al (2011) Extracorporeal membranous oxygenation support for acute fulminant myocarditis: Analysis of a single center’s experience. Eur J Cardiothorac Surg 40(3): 682-688.
5. Mao H, Katz N, Kim JC et al (2014) Implantable left ventricular assist devices and the kidney. Blood Purif 37(1): 57-66.
6. Matsumoto M, Asaumi Y, Nakamura Y et al (2018) Clinical determinants of successful weaning from extracorporeal membrane oxygenation in patients with fulminant myocarditis. ESC Heart Fail 5(4): 675-684.
7. Schmidt M, Bréchot N, Hariri S et al (2012) Nosocomial infections in adult cardiogenic shock patients supported by venoarterial extracorporeal membrane oxygenation. Clin Infect Dis 55(12): 1633-1641.
8. Zangrillo A, Landoni G, Biondi-Zoccai G et al (2013) A meta-analysis of complications and mortality of extracorporeal membrane oxygenation. Crit Care Resusc 15(3): 172-178.
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