Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock

Postcardiotomy extracorporeal membrane oxygenation (PC-ECMO), the most frequent indication for ECMO in the United States, is increasingly used as the first-line mechanical circulatory support in patients who are refractory to conventional treatment. Despite increasing use of PC-ECMO, limited evidenc...

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Bibliographic Details
Published in:Methodist DeBakey cardiovascular journal 2023-08, Vol.19 (4), p.66-73
Main Authors: Akbik, Bassel, Chou, Lin-Chiang P, Gorthi, Janardhana
Format: Article
Language:English
Subjects:
Cardiac Surgical Procedures - adverse effects
Extracorporeal Membrane Oxygenation - adverse effects
Humans
Patient Selection
Postoperative Complications - etiology
Retrospective Studies
Review
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - etiology
Shock, Cardiogenic - therapy
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Summary:Postcardiotomy extracorporeal membrane oxygenation (PC-ECMO), the most frequent indication for ECMO in the United States, is increasingly used as the first-line mechanical circulatory support in patients who are refractory to conventional treatment. Despite increasing use of PC-ECMO, limited evidence is available regarding its safety, efficacy, and optimal timing for initiation and weaning. The decision to use PC-ECMO often is made in the absence of robust clinical data, leading to variability in patient selection, management, and outcomes across different institutions. This article summarizes current evidence on ECMO use in postcardiotomy cardiogenic shock and discusses its potential benefits, management, complications, and outcomes.
ISSN:1947-6108
1947-6094
1947-6108
DOI:10.14797/mdcvj.1256