Effect of preoperative extracorporeal membrane oxygenation therapy on postventricular assist device outcomes: an analysis of the STS Pedimacs database

OBJECTIVESExtracorporeal membrane oxygenation (ECMO) support prior to ventricular assist device (VAD) therapy is frequently used for stabilizing INTERMACS 1 and 2 paediatric patients. Data regarding outcomes with this strategy is limited. METHODSPatient characteristics and outcomes post-VAD therapy...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2022-11, Vol.62 (6)
Main Authors: Peer, Syed M, Koehl, Devin A, Cantor, Ryan S, Kirklin, James K, Sinha, Pranava
Format: Article
Language:English
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Summary:OBJECTIVESExtracorporeal membrane oxygenation (ECMO) support prior to ventricular assist device (VAD) therapy is frequently used for stabilizing INTERMACS 1 and 2 paediatric patients. Data regarding outcomes with this strategy is limited. METHODSPatient characteristics and outcomes post-VAD therapy with and without preop ECMO support were compared. Survival and risk factor analysis was performed for all patients and INTERMACS profile 1 subgroup. RESULTSOf 541 INTERMACS 1 and 2 patients enrolled in Paediatric Interagency Registry for Mechanical Circulatory Support registry, 391 received primary VAD implantation and ECMO prior to VAD therapy was utilized in 150 patients. Younger age (P 
ISSN:1873-734X
1873-734X
DOI:10.1093/ejcts/ezac485