scholarly journals Disseminated Intravascular Coagulation Score Is Related to Short-term Mortality in Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation After Cardiac Surgery

ASAIO Journal ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Liangshan Wang ◽  
Juanjuan Shao ◽  
Eddy Fan ◽  
Ming Jia ◽  
Hong Wang ◽  
...  
Perfusion ◽  
2019 ◽  
Vol 34 (5) ◽  
pp. 417-421 ◽  
Author(s):  
Chris Oscier ◽  
Chinmay Patvardhan ◽  
Florian Falter ◽  
Will Tosh ◽  
John Dunning ◽  
...  

Central venoarterial extracorporeal membrane oxygenation has been used since the 1970s to support patients with cardiogenic shock following cardiac surgery. Despite this, in-hospital mortality is still high, and although rare, thrombus within the cardiac chambers or within the extracorporeal membrane oxygenation circuit is often fatal. Aprotinin is an antifibrinolytic available in Europe and Canada, though not currently in the United States. Due to historical safety concerns, use of aprotinin is generally limited and is commonly reserved for patients with the highest bleeding risk. Given the limited availability of aprotinin over the last decade, it is not surprising to find a complete absence of literature describing the use of venoarterial extracorporeal membrane oxygenation in the presence of aprotinin. We present three consecutive cases of rapid fatal intraoperative intracardiac thrombosis associated with post-cardiotomy central venoarterial extracorporeal membrane oxygenation in patients receiving aprotinin.


2018 ◽  
Vol 155 (2) ◽  
pp. 643-649 ◽  
Author(s):  
Stefan Guth ◽  
Christoph B. Wiedenroth ◽  
Marc Wollenschläger ◽  
Manuel Jonas Richter ◽  
Hossein A. Ghofrani ◽  
...  

2020 ◽  
Vol 109 (3) ◽  
pp. e161-e162
Author(s):  
Quentin de Roux ◽  
Sami Maghrebi ◽  
Antonio Fiore ◽  
Margot Arminot-Fremaux ◽  
Thomas Dessalle ◽  
...  

2019 ◽  
Vol 22 (4) ◽  
pp. E281-E282 ◽  
Author(s):  
Shinya Unai ◽  
Vishal Khullar ◽  
Haythem Elgharably ◽  
Jose L Navia

We report a 62-year-old male who had severe aortic insufficiency after a homograft root replacement, requiring venoarterial extracorporeal membrane oxygenation prior to surgery due to profound cardiogenic shock. Severe aortic insufficiency is a contraindication for venoarterial extracorporeal membrane oxygenation, but we were able to stabilize the patient and successfully perform an urgent reoperative surgery.


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