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Extracorporeal membrane oxygenation support following liver transplantation-A case series.
- Source :
-
Clinical transplantation [Clin Transplant] 2019 Jul; Vol. 33 (7), pp. e13628. Date of Electronic Publication: 2019 Jun 22. - Publication Year :
- 2019
-
Abstract
- Background: Postoperative severe cardiopulmonary failure carries a high rate of mortality. Extracorporeal membrane oxygenation (ECMO) can be used as a salvage therapy when conventional therapies fail.<br />Methods: We retrospectively reviewed our experience with ECMO support in the early postoperative period after liver transplant between September 2011 and May 2016.<br />Results: Out of 537 liver transplants performed at our institution, seven patients required ECMO support with a median age of 52 and a median MELD score of 28. Veno-venous ECMO was used in four patients with severe respiratory failure while the rest required veno-arterial ECMO for circulatory failure. The median time from transplant to cannulation was 3 days with a median duration of ECMO support of 7 days. All patients except one were successfully decannulated. The median hospital length of stay was 58 days with an in-hospital mortality of 28.6%.<br />Conclusion: Extracorporeal membrane oxygenation can be considered a viable rescue therapy in the setting of severe postoperative cardiopulmonary failure. Extracorporeal membrane oxygenation therapy was successful in saving patients who were otherwise unsalvageable.<br /> (© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Subjects :
- Adult
Female
Follow-Up Studies
Graft Rejection etiology
Graft Rejection mortality
Graft Survival
Heart Arrest etiology
Heart Arrest mortality
Humans
Male
Middle Aged
Postoperative Complications etiology
Postoperative Complications mortality
Respiratory Insufficiency etiology
Respiratory Insufficiency mortality
Retrospective Studies
Survival Rate
Treatment Outcome
Extracorporeal Membrane Oxygenation methods
Graft Rejection therapy
Heart Arrest therapy
Hospital Mortality trends
Liver Transplantation adverse effects
Postoperative Complications therapy
Respiratory Insufficiency therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1399-0012
- Volume :
- 33
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Clinical transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 31173413
- Full Text :
- https://doi.org/10.1111/ctr.13628