Extracorporeal membrane oxygenation treatment for patients with refractory postoperative cardiogenic shock after coronary artery bypass grafting
Jiang Chun-jing
Yang Feng
Hao Xing
Xing Zhi-chen
Xu Bo
Jiang Yu
Yang Xiao-fang
Du Zhong-tao
Xing Jia-lin
Hou Xiao-tong
Abstract：Objective To report the outcome of patients with refractory postoperative cardiogenic shock (PCS) after coronary artery bypass grafting ( CABG) treated with extracorporeal membrane oxygenation ( ECMO) in our center, and to analyze the risk fac?tors of clinical outcomes. Methods From 2004 June to 2013 December, the condition of 58 patients treated with ECMO because of PCS after CABG or unsuccessfully weaning from cardiopulmonary bypass ( CPB) during surgery were systematicly reviewed, and the risk factors possibly associated with these patients'outcome were analyzed. Results In all these ECMO assisting patients, there were 43 males (76%) and 15 females (24%), with the mean age of 60 ± 9.5 years and the mean ECMO support duration of 105.9±53.2 h. Among them, 45 cases successfully weaned from ECMO (77.6%) and 28 cases discharged from hospital. Logistic analysis revealed that cardiopulmonary resuscitation ( CPR) before ECMO was an independent risk factor affected clinical outcomes of these patients ( OR:0. 21, 95% CI:0.05~0.87, P<0.05) . Conclusion ECMO is an effective measure for patients occurred PCS after CABG. Male, youn?ger and patients with larger body surface area may be more likely to survive in these ECMO patients. In addition, CPR before ECMO is an independent risk factor affecting ECMO support outcomes.
Keywords：Extracorporeal membrane oxygenationCoronary artery bypass graftingRefractory postoperative cardiogenic shock
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 215-218,233 )