Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock
<b>Background</b>: This study aims to assess the outcomes and complications of patients who received veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and intra-aortic balloon pump (IABP) support after cardiac surgery at Ankara University Heart Center between 2000 and 2023. <...
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MDPI AG
2024-09-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/11/9/283 |
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| author | Cagdas Baran Evren Ozcinar Ahmet Kayan Nur Dikmen Canan Soykan Baran Mustafa Bahadir Inan |
| author_facet | Cagdas Baran Evren Ozcinar Ahmet Kayan Nur Dikmen Canan Soykan Baran Mustafa Bahadir Inan |
| author_sort | Cagdas Baran |
| collection | DOAJ |
| description | <b>Background</b>: This study aims to assess the outcomes and complications of patients who received veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and intra-aortic balloon pump (IABP) support after cardiac surgery at Ankara University Heart Center between 2000 and 2023. <b>Methods</b>: We have carried out a retrospective analysis that included 255 patients. Among them, 98 received IABP, 103 received VA-ECMO, and 54 received both VA-ECMO and IABP. Preoperative and postoperative assessments were carried out, including evaluations of left ventricular function and serum creatinine levels. Primary outcomes included 30-day survival and successful VA-ECMO weaning. Complications such as bleeding, sepsis, liver failure, wound infection, and peripheral ischemia were also assessed. <b>Results</b>: The weaning rate from VA-ECMO was significantly higher in the combined VA-ECMO and IABP group (81.4%) compared with the other groups (<i>p</i> = 0.004). One-year survival was also higher in the combined group (75.9%) (<i>p</i> = 0.002). Complications or renal function did not differ significantly among the groups. The primary indication for mechanical support was coronary artery bypass grafting. <b>Conclusions</b>: In conclusion, the combined use of VA-ECMO and IABP therapy led to improved weaning and survival rates without increasing the risk of complications. These findings suggest that a combined approach may be beneficial for selected patients with severe cardiac dysfunction post surgery. |
| format | Article |
| id | doaj-art-77b16c1d327a457eabe2b49505ee4a86 |
| institution | OA Journals |
| issn | 2308-3425 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-77b16c1d327a457eabe2b49505ee4a862025-08-20T01:55:34ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252024-09-0111928310.3390/jcdd11090283Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy ShockCagdas Baran0Evren Ozcinar1Ahmet Kayan2Nur Dikmen3Canan Soykan Baran4Mustafa Bahadir Inan5Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, 06230 Ankara, TurkeyDepartment of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, 06230 Ankara, TurkeyDepartment of Cardiovascular Surgery, Kirikkale High Specialization Hospital, 71300 Kirikkale, TurkeyDepartment of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, 06230 Ankara, TurkeyDepartment of Cardiovascular Surgery, Ankara 29 Mayıs Hospital, 06105 Ankara, TurkeyDepartment of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, 06230 Ankara, Turkey<b>Background</b>: This study aims to assess the outcomes and complications of patients who received veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and intra-aortic balloon pump (IABP) support after cardiac surgery at Ankara University Heart Center between 2000 and 2023. <b>Methods</b>: We have carried out a retrospective analysis that included 255 patients. Among them, 98 received IABP, 103 received VA-ECMO, and 54 received both VA-ECMO and IABP. Preoperative and postoperative assessments were carried out, including evaluations of left ventricular function and serum creatinine levels. Primary outcomes included 30-day survival and successful VA-ECMO weaning. Complications such as bleeding, sepsis, liver failure, wound infection, and peripheral ischemia were also assessed. <b>Results</b>: The weaning rate from VA-ECMO was significantly higher in the combined VA-ECMO and IABP group (81.4%) compared with the other groups (<i>p</i> = 0.004). One-year survival was also higher in the combined group (75.9%) (<i>p</i> = 0.002). Complications or renal function did not differ significantly among the groups. The primary indication for mechanical support was coronary artery bypass grafting. <b>Conclusions</b>: In conclusion, the combined use of VA-ECMO and IABP therapy led to improved weaning and survival rates without increasing the risk of complications. These findings suggest that a combined approach may be beneficial for selected patients with severe cardiac dysfunction post surgery.https://www.mdpi.com/2308-3425/11/9/283postcardiotomy shockECMOintra-aortic balloon pump |
| spellingShingle | Cagdas Baran Evren Ozcinar Ahmet Kayan Nur Dikmen Canan Soykan Baran Mustafa Bahadir Inan Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock Journal of Cardiovascular Development and Disease postcardiotomy shock ECMO intra-aortic balloon pump |
| title | Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock |
| title_full | Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock |
| title_fullStr | Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock |
| title_full_unstemmed | Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock |
| title_short | Comparison of ECMO, IABP and ECMO + IABP in the Postoperative Period in Patients with Postcardiotomy Shock |
| title_sort | comparison of ecmo iabp and ecmo iabp in the postoperative period in patients with postcardiotomy shock |
| topic | postcardiotomy shock ECMO intra-aortic balloon pump |
| url | https://www.mdpi.com/2308-3425/11/9/283 |
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