On-Support and Postweaning Mortality in Postcardiotomy Extracorporeal Membrane Oxygenation.

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Abstract

Postcardiotomy venoarterial extracorporeal membrane oxygenation (VA ECMO) is characterized by discrepancies between weaning and survival-to-discharge rates. This study analyzes the differences between postcardiotomy VA ECMO patients who survived, died on ECMO, or died after ECMO weaning. Causes of death and variables associated with mortality at different time points are investigated.

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Journal

Journal ID (iso-abbrev): Ann Thorac Surg

Title: The Annals of thoracic surgery

Publisher: Elsevier BV

ISSN (Electronic): 1552-6259

ISSN (Print): 0003-4975

Publication date (Electronic): Nov 2023

Volume: 116

Issue: 5

Affiliations

[1 ] Department of Cardio-Thoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands. Electronic address: s.mariani1985@gmail.com.

[2 ] Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.

[3 ] Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Intensive Care Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.

[4 ] Department of Cardio-Thoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.

[5 ] Department of Cardio-Thoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands; Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.

[6 ] Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.

[7 ] Department of Cardiac Surgery, Louis Pradel Cardiologic Hospital, Lyon, France.

[8 ] Division of Cardiac Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Department of Surgical Sciences, University of Turin, Turin, Italy.

[9 ] Department of Cardiac Surgery, Heinrich Heine University, Duesseldorf, Germany.

[10 ] II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania.

[11 ] Division of Cardiothoracic and Vascular Surgery, Pontchaillou University Hospital, Rennes, France.

[12 ] Center for Cardiac Intensive Care, Beijing Institute of Heart, Lung, and Blood Vessels Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

[13 ] Department of Intensive Care Adults, Erasmus MC, Rotterdam, the Netherlands; Department of Cardiology, Erasmus MC, Rotterdam, the Netherlands.

[14 ] Department of Intensive Care Medicine, Center of Applied Medical Research, St Vincent's Hospital, Darlinghurst, New South Wales, Australia.

[15 ] Department of Cardiology, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.

[16 ] Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.

[17 ] Department of Medicine, University of Maryland, Baltimore, Maryland; Department of Surgery, University of Maryland, Baltimore, Maryland.

[18 ] Struttura Organizzativa Dipartimentale Cardiochirurgia, Ospedali Riuniti 'Umberto I - Lancisi - Salesi' Università Politecnica delle Marche, Ancona, Italy.

[19 ] Division of Cardiac Surgery, Cardiothoracic Department, University Hospital of Udine, Udine, Italy.

[20 ] Cardiothoracic Intensive Care Unit, National University Heart Centre, National University Hospital, Singapore, Singapore.

[21 ] Cardiac Surgery Unit, Cardiac Thoracic and Vascular Department, Niguarda Hospital, Milan, Italy.

[22 ] Cardiac Surgery Unit, San Gerardo Hospital, Monza, Italy; Cardiac Surgery Unit, Department of Medicine and Surgery, University Hospital of Parma, University of Parma, Parma, Italy.

[23 ] Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

[24 ] Department of Cardio-Thoracic Surgery, University Hospital Henri-Mondor, Créteil, Paris, France.

[25 ] Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany.

[26 ] Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Palermo, Italy.

[27 ] ECMO Unit, Departamento de Anestesia, Clínica Las Condes, Las Condes, Santiago, Chile.

[28 ] Division of Cardiac Surgery, Memorial Healthcare System, Hollywood, Florida.

[29 ] Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Seoul, South Korea.

[30 ] Second Department of Internal Medicine, Cardiovascular Medicine General Teaching Hospital, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.

[31 ] Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia.

[32 ] Ospedale del Cuore, Fondazione Toscana "G. Monasterio," Massa, Italy.

[33 ] Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium.

[34 ] Cardiac Surgery Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.

[35 ] IU Health Advanced Heart & Lung Care, Indiana University Methodist Hospital, Indianapolis, Indiana.

[36 ] Cardiac Intensive Care Unit, Johns Hopkins Hospital, Baltimore, Maryland.

[37 ] Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Australia.

[38 ] Department of Cardio-Thoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands.

Article

Publisher Item ID: S0003-4975(23)00681-1

DOI: 10.1016/j.athoracsur.2023.05.045

PubMed ID: 37414384

SO-VID: 4acf4578-b7bf-44c2-b5c3-67a8abcc770b

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