TY  - JOUR
SN  - 0160-564X
AV  - public
JF  - ARTIFICIAL ORGANS
IS  - 11
EP  - 1365
UR  - https://doi.org/10.1111/aor.14818
N2  - 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.
VL  - 48
N1  - Journal Article; Observational Study; Multicenter Study
ID  - publicatio34984
SP  - 1355
TI  - Post-cardiotomy extracorporeal life support : A cohort of cannulation in the general ward
A1  -  Bari Gábor
A1  -  Mariani Silvia
A1  -  van Bussel Bas C T
A1  -  Ravaux Justine
A1  -  Di Mauro Michele
A1  -  Schaefer Anne
A1  -  Khalil Jawad
A1  -  Pozzi Matteo
A1  -  Botta Luca
A1  -  Pacini Davide
A1  -  Boeken Udo
A1  -  Samalavicius Robertas
A1  -  Bounader Karl
A1  -  Hou Xiaotong
A1  -  Bunge Jeroen J H
A1  -  Buscher Hergen
A1  -  Salazar Leonardo
A1  -  Meyns Bart
A1  -  Mazeffi Michael
A1  -  Matteucci Sacha
A1  -  Sponga Sandro
A1  -  MacLaren Graeme
A1  -  Russo Claudio
A1  -  Formica Francesco
A1  -  Sakiyalak Pranya
A1  -  Fiore Antonio
A1  -  Camboni Daniele
A1  -  Raffa Giuseppe Maria
A1  -  Diaz Rodrigo
A1  -  Wang I-Wen
A1  -  Kollaborációs szervezet: PELS Investigators
Y1  - 2024///
ER  -