%0 Journal Article
%T Long-term survival and major outcomes in post-cardiotomy extracorporeal membrane oxygenation for adult patients in cardiogenic shock
%A Meani, Paolo
%A Matteucci, Matteo
%A Jiritano, Federica
%A Fina, Dario
%A Panzeri, Francesco
%A Raffa, Giuseppe M.
%A Kowalewski, Mariusz
%A Morici, Nuccia
%A Viola, Giovanna
%A Sacco, Alice
%A Oliva, Fabrizio
%A Alyousif, Amal
%A Heuts, Sam
%A Gilbers, Martijn
%A Schreurs, Rick
%A Maessen, Jos
%A Lorusso, Roberto
%J Annals of Cardiothoracic Surgery
%D 2019
%B 2019
%9 
%! Long-term survival and major outcomes in post-cardiotomy extracorporeal membrane oxygenation for adult patients in cardiogenic shock
%K 
%X Extracorporeal membrane oxygenation (ECMO) in the veno-arterial (VA) configuration is an established method for the treatment of refractory cardiogenic shock. Such a condition characterizes the postoperative course of approximatively 1% of cardiac surgery patients. Although some studies have reported ECMO-related short-term results, little is known about the long-term outcomes of VA-ECMO therapy in the post-cardiotomy setting. Therefore, an extensive literature search was conducted regarding articles published after 1990 reporting postoperative ECMO use. PubMed, EMBASE and Web of Science were searched for sources. In-hospital mortality was high in post-cardiotomy VA-ECMO patients, ranging from 24.8% to 52%. Long-term results were poorly reported. However, based on the limited information available, hospital survivors showed a favorable outcome, with improvement in overall clinical condition, quality of life and limited hospital readmission for cardiac-related events. To conclude, in-hospital outcome in post-cardiotomy ECMO is often unfavorable, post-discharge results show satisfactory condition, with stable improvement of overall patient clinical status and low rate of hospital readmission and cardiac-related adverse events. Data reporting is, however, scarce and hence new and detailed studies are still warranted to investigate such aspects.
%U https://www.annalscts.com/article/view/16573
%V 8
%N 1
%P 116-122
%@ 2304-1021