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Clinical use and outcome of extracorporeal membrane oxygenation in patients with pulmonary embolism
- Source :
- Resuscitation. 170:285-292
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- AIM OF THE STUDY Extracorporeal membrane oxygenation (ECMO) is considered a life-saving treatment option for patients in cardiogenic shock or cardiac arrest undergoing cardiopulmonary resuscitation (CPR) due to acute pulmonary embolism (PE). We sought to analyze use and outcome of ECMO with or without adjunctive treatment strategies in patients with acute PE. METHODS We retrospectively analyzed data on patient characteristics, treatments, and in-hospital outcomes for all PE patients (ICD-code I26) undergoing ECMO in Germany between 2005 and 2018. RESULTS At total of 1,172,354 patients were hospitalized with PE; of those, 2,197 (0.2%) were treated with ECMO support. Cardiac arrest requiring cardiopulmonary resuscitation was present in 77,196 (6.5%) patients. While more than one fourth of those patients were treated with systemic thrombolysis alone (n = 20,839 patients; 27.0%), a minority of patients received thrombolysis and VA-ECMO (n = 165; 0.2%), embolectomy and VA-ECMO (n = 385; 0.5%) or VA-ECMOalone (n = 588; 0.8%). A multivariable logistic regression analysis indicated the lowest risk for in-hospital death in patients who received embolectomy in combination with VA-ECMO (OR, 0.50 [95% CI, 0.41-0.61], p
- Subjects :
- medicine.medical_treatment
Shock, Cardiogenic
Embolectomy
610 Medicine & health
Emergency Nursing
Logistic regression
2705 Cardiology and Cardiovascular Medicine
Extracorporeal Membrane Oxygenation
medicine
Extracorporeal membrane oxygenation
Humans
Hospital Mortality
Cardiopulmonary resuscitation
Retrospective Studies
business.industry
10031 Clinic for Angiology
Cardiogenic shock
Thrombolysis
medicine.disease
2907 Emergency Nursing
Pulmonary embolism
surgical procedures, operative
Anesthesia
Adjunctive treatment
Emergency Medicine
2711 Emergency Medicine
Pulmonary Embolism
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 03009572
- Volume :
- 170
- Database :
- OpenAIRE
- Journal :
- Resuscitation
- Accession number :
- edsair.doi.dedup.....b28ed7970dcc7515aea6abd47206e741