%0 Journal Article
%@ 0160-564X
%A  Bari Gábor
%A  Mariani Silvia
%A  van Bussel Bas C T
%A  Ravaux Justine
%A  Di Mauro Michele
%A  Schaefer Anne
%A  Khalil Jawad
%A  Pozzi Matteo
%A  Botta Luca
%A  Pacini Davide
%A  Boeken Udo
%A  Samalavicius Robertas
%A  Bounader Karl
%A  Hou Xiaotong
%A  Bunge Jeroen J H
%A  Buscher Hergen
%A  Salazar Leonardo
%A  Meyns Bart
%A  Mazeffi Michael
%A  Matteucci Sacha
%A  Sponga Sandro
%A  MacLaren Graeme
%A  Russo Claudio
%A  Formica Francesco
%A  Sakiyalak Pranya
%A  Fiore Antonio
%A  Camboni Daniele
%A  Raffa Giuseppe Maria
%A  Diaz Rodrigo
%A  Wang I-Wen
%A  Kollaborációs szervezet: PELS Investigators
%A II. sz. Belgyógyászati Klinika és Kardiológiai Központ SZTE / SZAOK / BK II.BelKKK [2000-],
%D 2024
%F publicatio:34984
%J ARTIFICIAL ORGANS
%N 11
%P 1355-1365
%T Post-cardiotomy extracorporeal life support : A cohort of cannulation in the general ward
%U http://publicatio.bibl.u-szeged.hu/34984/
%V 48
%X Post-cardiotomy extracorporeal life support (ECLS) cannulation might occur in a general post-operative ward due to emergent conditions. Its characteristics have been poorly reported and investigated This study investigates the characteristics and outcomes of adult patients receiving ECLS cannulation in a general post-operative cardiac ward.The Post-cardiotomy Extracorporeal Life Support (PELS) is a retrospective (2000-2020), multicenter (34 centers), observational study including adult patients who required ECLS for post-cardiotomy shock. This PELS sub-analysis analyzed patients´ characteristics, in-hospital outcomes, and long-term survival in patients cannulated for veno-arterial ECLS in the general ward, and further compared in-hospital survivors and non-survivors.The PELS study included 2058 patients of whom 39 (1.9%) were cannulated in the general ward. Most patients underwent isolated coronary bypass grafting (CABG, n = 15, 38.5%) or isolated non-CABG operations (n = 20, 51.3%). The main indications to initiate ECLS included cardiac arrest (n = 17, 44.7%) and cardiogenic shock (n = 14, 35.9%). ECLS cannulation occurred after a median time of 4 (2-7) days post-operatively. Most patients' courses were complicated by acute kidney injury (n = 23, 59%), arrhythmias (n = 19, 48.7%), and postoperative bleeding (n = 20, 51.3%). In-hospital mortality was 84.6% (n = 33) with persistent heart failure (n = 11, 28.2%) as the most common cause of death. No peculiar differences were observed between in-hospital survivors and nonsurvivors.This study demonstrates that ECLS cannulation due to post-cardiotomy emergent adverse events in the general ward is rare, mainly occurring in preoperative low-risk patients and after a postoperative cardiac arrest. High complication rates and low in-hospital survival require further investigations to identify patients at risk for such a complication, optimize resources, enhance intervention, and improve outcomes.
%Z Journal Article; Observational Study; Multicenter Study