Institutional Experience With Venoarterial Extracorporeal Membrane Oxygenation for Massive Pulmonary Embolism: A Retrospective Case Series.

MedStar author(s):
Citation: Journal of Cardiothoracic & Vascular Anesthesia. 35(9):2681-2685, 2021 09.PMID: 33531193Institution: MedStar Washington Hospital CenterDepartment: Surgery/Surgical Critical CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Extracorporeal Membrane Oxygenation | *Pulmonary Embolism | Adult | Humans | Patient Discharge | Pulmonary Embolism/th [Therapy] | Registries | Retrospective StudiesYear: 2021Local holdings: Available online through MWHC library: 2017 - presentISSN:
  • 1053-0770
Name of journal: Journal of cardiothoracic and vascular anesthesiaAbstract: CONCLUSIONS: The results suggested that patients placed on VA ECMO earlier during their course of massive PE may have improved mortality. Additional investigation is needed to clarify the optimal sequence and timing of therapies surrounding the initiation of VA ECMO in patients with massive PE. Copyright (c) 2021 Elsevier Inc. All rights reserved.DESIGN: Single-center case series that reported demographics and outcomes for patients with massive PE who underwent VA ECMO.INTERVENTIONS: No interventions were performed.MEASUREMENTS AND MAIN RESULTS: Seventeen patients who met the inclusion criteria were identified, with 16 patients cannulated peripherally and one patient cannulated centrally for VA ECMO. Survival to hospital discharge was 80% for patients who underwent VA ECMO as an initial approach versus 42% for those in whom it was used as a rescue modality.OBJECTIVE: Despite advances in treatment, massive pulmonary embolism (PE) remains associated with significant morbidity and mortality. The role of venoarterial extracorporeal membrane oxygenation (VA ECMO) in the setting of massive PE is evolving and includes potential roles both in initial management and as a rescue strategy.PARTICIPANTS: The study comprised adult patients (age >=18 y) admitted to the authors' hospital system. Patients were identified using an internal registry of ECMO patients that contains basic demographic information (age, weight, treatment dates and times, ECMO configuration) and primary diagnosis.SETTING: This investigation was performed at a quaternary referral center with several hospitals throughout the greater Atlanta, GA, area.All authors: Appelstein J, Creel-Bulos C, Hockstein MA, Jabaley CS, Stentz MJOriginally published: Journal of Cardiothoracic & Vascular Anesthesia. 2021 Jan 04Fiscal year: FY2022Fiscal year of original publication: FY2021Digital Object Identifier: Date added to catalog: 2021-02-18
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 33531193 Available 33531193

Available online through MWHC library: 2017 - present

CONCLUSIONS: The results suggested that patients placed on VA ECMO earlier during their course of massive PE may have improved mortality. Additional investigation is needed to clarify the optimal sequence and timing of therapies surrounding the initiation of VA ECMO in patients with massive PE. Copyright (c) 2021 Elsevier Inc. All rights reserved.

DESIGN: Single-center case series that reported demographics and outcomes for patients with massive PE who underwent VA ECMO.

INTERVENTIONS: No interventions were performed.

MEASUREMENTS AND MAIN RESULTS: Seventeen patients who met the inclusion criteria were identified, with 16 patients cannulated peripherally and one patient cannulated centrally for VA ECMO. Survival to hospital discharge was 80% for patients who underwent VA ECMO as an initial approach versus 42% for those in whom it was used as a rescue modality.

OBJECTIVE: Despite advances in treatment, massive pulmonary embolism (PE) remains associated with significant morbidity and mortality. The role of venoarterial extracorporeal membrane oxygenation (VA ECMO) in the setting of massive PE is evolving and includes potential roles both in initial management and as a rescue strategy.

PARTICIPANTS: The study comprised adult patients (age >=18 y) admitted to the authors' hospital system. Patients were identified using an internal registry of ECMO patients that contains basic demographic information (age, weight, treatment dates and times, ECMO configuration) and primary diagnosis.

SETTING: This investigation was performed at a quaternary referral center with several hospitals throughout the greater Atlanta, GA, area.

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