The application of extracorporeal membrane oxygenation for surgical treatment of coronary artery disease / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1714-1716, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-237861
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the results and experiences on extracorporeal membrane oxygenation (ECMO) for post-cardiac surgery of coronary artery disease.</p><p><b>METHODS</b>From June 2004 to November 2006, sixteen patients with the mean age of (58 +/- 11) years old undergoing cardiac surgical procedures were placed on ECMO using a heparin-bonded circuit. Fourteen patients were male and two patients were female. Thirteen patients underwent on pump coronary artery bypass surgery (CABG) and three patients underwent off-pump coronary artery bypass grafting. The duration of ECMO support, stay of intensive care unit (ICU stay), complications and turnovers were recorded.</p><p><b>RESULTS</b>The mean duration of ECMO support was 51 hours, and the mean duration of ICU stay was 5 days. Thirteen patients (81.3%) were successfully weaned form ECMO, ten patients (62.5%) were discharged from hospital. The main complications were bleeding, infection, renal failure and ischemia of the lower limbs with the incidence of 18.8%, 37.5%, 25% and 18.8% respectively.</p><p><b>CONCLUSION</b>ECMO is an acceptable technique for shortterm treatment of refractory low cardiac output after cardiac surgery of coronary artery disease.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Care
/
General Surgery
/
Therapeutics
/
Coronary Artery Disease
/
Extracorporeal Membrane Oxygenation
/
Coronary Artery Bypass
/
Treatment Outcome
/
Coronary Artery Bypass, Off-Pump
/
Intensive Care Units
/
Length of Stay
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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