EXTRACORPOREAL MEMBRANE OXYGENATION IN PRIMARY GRAFT FAILURE AFTER HEART TRANSPLANTATION

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BAGHAEI R.

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Journal: IRANIAN JOURNAL OF CARDIAC SURGERY Year:2011 | Volume:3 | Issue:1 Page(s): 46-46

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Title

EXTRACORPOREAL MEMBRANE OXYGENATION IN PRIMARY GRAFT FAILURE AFTER HEART TRANSPLANTATION

Author(s)

BAGHAEI R.

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Abstract

Background: The aim of this review was to analyze our results with extracorporeal membrane oxygenation (ECMO) support for primary graft failure (PGF) in heart transplantrecipients.Methods: A retrospective review of 239 consecutive patientswho underwent heart transplantation between January 2000 and August 2009 was performed. Orthotopic, heterotopic, and heart lung transplants were included in this analysis. Over that time period, 54 patients developed PGF, of whom 39 patients required ECMO support. These 39 patients form the basis of this review.Results: Thirty-four patients (87%) were successfully weaned from ECMO and 29 (74.3%) survived to hospital discharge. There were no significant differences in wean rates or complications between central and peripheral ECMO. Comparison of survival in the 39 ECMO patients to the non-PGF patients (n=185) showed a significantly worse survival in the ECMO group (p=0.007). When those patients who died in the first 30 days were excluded, there was no difference in overall survival between groups (p=0.73).Conclusions: Extracorporeal membrane oxygenation provides excellent circulatory support for patients with PGF after heart transplantation with good wean and survival to discharge rates. 6- Risk factors of stroke and delirium after off-pump coronary artery bypass surgery Interactive CardioVascular and Thoracic Surgery 2010, doi:10.1510/icvts.2010.248872 Off-pump coronary artery bypass surgery (CABG) has not abolished the risk of postoperative stroke and delirium seen for on-pump CABG. Advanced arteriosclerotic changes are common in both on-pump and off-pump CABG. Wesought to analyze if advanced arteriosclerotic changes arerisk factors of stroke or transient ischemic attack (TIA), and delirium after off-pump CABG. Patients undergoing off-pump CABG between 2001 and 2005 were reviewed using medical records (n=685). Potential risk factors of postoperative stroke and delirium were identified from previous studies. Further, variables retrieved from carotid artery duplex scanning as indices of advanced arteriosclerosis, were examined. The incidences of postoperative stroke/TIA and delirium after off-pump CABG were 2.6% (n=18) and 16.4% (n=112), respectively. Carotid artery stenosis >50% was a significant risk factor of stroke or TIA (P=0.02) as well as delirium (P=0.04) after off-pump CABG. A history of atrial fibrillation (AF) (P=0.037) or diabetes mellitus (P=0.041) was a risk factors of postoperative stroke or TIA. In contrast, age over 75 years (P=0.006), creatinine >1.3 mg/dl (P=0.011), a history of hypertension (P=0.001), past history of AF (P=0.024), and smoking (P=0.048) were significant risk factors of postoperative delirium. Keywords: Brain; Coronary artery bypass surgery; Stroke

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APA: Copy

BAGHAEI, R.. (2011). EXTRACORPOREAL MEMBRANE OXYGENATION IN PRIMARY GRAFT FAILURE AFTER HEART TRANSPLANTATION. IRANIAN JOURNAL OF CARDIAC SURGERY, 3(1), 46-46. SID. https://sid.ir/paper/324112/en

Vancouver: Copy

BAGHAEI R.. EXTRACORPOREAL MEMBRANE OXYGENATION IN PRIMARY GRAFT FAILURE AFTER HEART TRANSPLANTATION. IRANIAN JOURNAL OF CARDIAC SURGERY[Internet]. 2011;3(1):46-46. Available from: https://sid.ir/paper/324112/en

IEEE: Copy

R. BAGHAEI, “EXTRACORPOREAL MEMBRANE OXYGENATION IN PRIMARY GRAFT FAILURE AFTER HEART TRANSPLANTATION,” IRANIAN JOURNAL OF CARDIAC SURGERY, vol. 3, no. 1, pp. 46–46, 2011, [Online]. Available: https://sid.ir/paper/324112/en

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