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Original Article

Temporary circulatory support with extra corporeal membrane oxygenation in adults with refractory cardiogenic shock

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Pages 226-232 | Received 01 Jul 2008, Published online: 13 Aug 2009

Figures & data

Table I.  Patient characteristics in patients with cardiogenic shock after cardiac surgery (post-cardiotomy) and in patients who did not undergo surgery (non-cardiotomy). There were significantly more patients in the non-cardiotomy group who had acute myocardial infarction compared to postcardiotomy patients, p < 0.05.

Figure 1.  Distribution of patients with acute myocardial infarction (AMI) complicated with refractory cardiogenic shock treated with extracorporeal membrane oxygenation (ECMO). Seven patients with AMI underwent coronary artery bypass grafting (CABG) and 8 patients had percutaneous coronary intervention (PCI).

Figure 1.  Distribution of patients with acute myocardial infarction (AMI) complicated with refractory cardiogenic shock treated with extracorporeal membrane oxygenation (ECMO). Seven patients with AMI underwent coronary artery bypass grafting (CABG) and 8 patients had percutaneous coronary intervention (PCI).

Table II.  Outcome in post-cardiotomy and non-cardiotomy patients. There were significantly more patients in the non-cardiotomy group who underwent pre-ECMO CPR compared to patients in the post-cardiotomy group, p < 0.05.

Figure 2.  Kaplan-Meier survival curve in patients with cardiogenic shock after cardiotomy (n = 33) and non-cardiotomy patients (n = 19) treated with extracorporeal membrane oxygenation (ECMO) and the number of patients at risk. The median follow-up time was 2.7 years. Complete (○) = dead, censored (+) = follow-up time.

Figure 2.  Kaplan-Meier survival curve in patients with cardiogenic shock after cardiotomy (n = 33) and non-cardiotomy patients (n = 19) treated with extracorporeal membrane oxygenation (ECMO) and the number of patients at risk. The median follow-up time was 2.7 years. Complete (○) = dead, censored (+) = follow-up time.

Figure 3.  Outcomes of the 52 patients with refractory cardiogenic shock supported by extracorporeal membrane oxygenation (ECMO). Post Htx = post transplant graft failure, AA = aortic aneurysm, misc = miscellaneous, AMI = acute myocardial infarction.

Figure 3.  Outcomes of the 52 patients with refractory cardiogenic shock supported by extracorporeal membrane oxygenation (ECMO). Post Htx = post transplant graft failure, AA = aortic aneurysm, misc = miscellaneous, AMI = acute myocardial infarction.

Table III.  The cause of death in post-cardiotomy and non-cardiotomy patients treated with extracorporeal membrane oxygenation (ECMO).

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