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. 2018 Apr-Jun;21(2):181-184.
doi: 10.4103/aca.ACA_170_17.

Indications and perioperative outcomes of extracorporeal life support in clermont-ferrand

Abdel-Kémal Bori Bata  1 , Adama Sawadogo  2 , Nicolas D'ostrevy  1 , Etienne Geoffroy  1 , Nicolas Dauphin  1 , Vedat Eljezi  1 , Kasra Azarnoush  1 , Lionel Camilleri  3
Affiliations

Indications and perioperative outcomes of extracorporeal life support in clermont-ferrand

Abdel-Kémal Bori Bata et al. Ann Card Anaesth. 2018 Apr-Jun.

Abstract

Objectives: To report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure.

Methods: It consisted of a retrospective and descriptive study based on the database from the department of cardiovascular surgery.

Setting: University hospital clinic.

Patients: One hundred and sixty-one patients have participated in the study. Included were all patients who presented with left-sided heart or biventricular failure. Those who were suffering from either isolate respiratory failure or isolate right ventricle failure were excluded.

Interventions: Participants underwent ECLS: central ECLS or peripheral ECLS.

Results: : The mean age of the patients was 54 years; there were 73% of male patients and the mean duration of ECLS was 5.3 days. There were two types of ECLS: central (71%) and peripheral (29%). Indications for support were dominated by cardiogenic shock in 69%. Bleeding was the most frequent complication (23.5%). The overall in-hospital mortality of patients who underwent ECLS was 60%.

Conclusion: The number of ECLS performed increases in proportion to mastery of surgical technique. There is a high rate of mortality and morbidity with ECLS. However, it remains a lifesaving therapy for many clinically urgent situations.

Keywords: Cardiogenic shock; cardiorespiratory support; extracorporeal life support; ventricular failure.

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Conflict of interest statement

There are no conflicts of interest

Figures

Figure 1
Figure 1
Number of performed extracorporeal life support per year from 2005 to 2014
Figure 2
Figure 2
Perioperative outcomes of extracorporeal life support
See this image and copyright information in PMC

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