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eComment: Re: Extracorporeal membrane oxygenation for treatment of cardiac failure in adult patients

Bakoulev Center for Cardiovascular Surgery,121552 Moscow, Russia

Extracorporeal membrane oxygenation for treatment of cardiac failure in adult patients

The current study is of special interest for those specialists who face severe heart failure after open-heart surgery. Extracorporeal membrane oxygenation (ECMO) is an effective procedure in the treatment of severe post-surgical heart failure resistant to pharmacotherapy. When correctly used as it is indicated the success rate may reach 58% [1]. According to the literature, data survival rate may vary from 29% [2] to 65% [3]. The results of ECMO application may differ depending on patients' age, initial status, type of surgical procedure, type of postoperative complications [2–5]. Certainly, it is important to use ECMO also as a bridge to heart transplantation. Meantime the mortality is still high (42%) because of the severity of initial status. Other high-risk factors of mortality are multiorgan failure, generalized infection, coagulation system disorders. Patients suffering from renal failure and demanding hemodialysis are in the high-risk group as well. Combining ECMO with other mechanical circulatory support systems (e.g. IABP) and preventive treatment of possible complications may improve the clinical results. Despite the little experience shown in the current study we congratulate the authors on their results.

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1. Luo X-j, Wang W, Hu S-s, Sun H-s, Gao H-w, Long C, Song Y-h, Xu J-p. Extracorporeal membrane oxygenation for treatment of cardiac failure in adult patients. Interact CardioVasc Thorac Surg 2009;9:296–300.[Abstract/Free Full Text]
2. Bakhtiary F, Keller H, Dogan S, Dzemali O, Oezaslan F, Meininger D, Ackermann H, Zwissler B, Kleine P, Moritz A. Venoarterial extracorporeal membrane oxygenation for treatment of cardiogenic shock: clinical experiences in 45 adult patients. J Thorac Cardiovasc Surg 2008;135:382–388.[Abstract/Free Full Text]
3. Smith C, Bellomo R, Raman JS, Matalanis G, Rosalion A, Buckmaster J, Hart G, Silvester W, Gutteridge GA, Smith B, Doolan L, Buxton BF. An extracorporeal membrane oxygenation-based approach to cardiogenic shock in an older population. Ann Thorac Surg 2001;71:1421–1427.[Abstract/Free Full Text]
4. Dietl CA, Wernly JA, Pett SB, Yassin SF, Sterling JP, Dragan R, Milligan K, Crowley MR. Extracorporeal membrane oxygenation support improves survival of patient with severe Hantavirus cardiopulmonary syndrome. J Thorac Cardiovasc Surg 2008;135:579–584.[Abstract/Free Full Text]
5. Zimpfer D, Heinisch B, Czerny M, Hoelzenbein T, Taghavi S, Wolner E, Grimm M. Late vascular complications after extracorporeal membrane oxygenation support. Ann Thorac Surg 2006;81:892–895.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Konstantin V. Shatalov Permission Requests Google Scholar Articles by Bockeria, L. A. Articles by Makhalin, M. M. PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Makhalin, M. M. Related Collections Related Article