Application of the extracorporeal membrane oxygenation in cardiac arrest caused by fulminant myocarditis
Chen Xu-feng
Mei Yong
Lv Jin-ru
Hu De-liang
Zhang Gang
Zhang Jin-song
Abstract：Objective To investigate the value of emergency extracorporeal membrane oxygenation(ECMO)in cardiopulmonary resuscitation(CPR)induced by fulminant myocarditis(FM), and to provide a new advanced life support method for FM. Methods From June 2015 to December 2016 in our hospital, seven cases of cardiac arrest patients caused by fulminant myocarditis were implemented with ECMO. Three of them were men;four was female, age:15 ~ 58 years, average age (29. 3 ± 11. 5) years. They were treated by venous arterial( V-A) mode, CPR time: 50 ~ 180 min average(78 ± 45. 8) min; CPR to start the ECMO time: 8 ~15 min, average(11. 6 ± 2. 63) min;established the ECMO time:40 ~ 65 min, average(52. 1 ± 9. 49)min;maintained ECMO time:121~288 h, average ( 162. 1 ± 71. 3 ) h. Results Six patients recovered spontaneous rhythm; they were successfully weaned from ECMO and survived(85. 7%). One case died of infection and complication of central nerve system;in the ECMO period, CRRT in five cases, artery intubation oozing of blood in one case, limb ischemic necrosis in one case. Conclusion The application of ECMO in the treatment of FM, especially early application, has a good effect. Therefore, it is recommended for adults with FM first-line support treatment.
Keywords：Extracorporeal membrane oxygenation( ECMO)Fulminant myocarditis( FM)Cardiopulmonary resuscitation( CPR)
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 903-906 )