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Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand

OBJECTIVES: To report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure. METHODS: It consisted of a retrospective and descriptive study based on the database from the department of cardiovascul...

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Autores principales: Bata, Abdel-Kémal Bori, Sawadogo, Adama, D’ostrevy, Nicolas, Geoffroy, Etienne, Dauphin, Nicolas, Eljezi, Vedat, Azarnoush, Kasra, Camilleri, Lionel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914220/
https://www.ncbi.nlm.nih.gov/pubmed/29652281
http://dx.doi.org/10.4103/aca.ACA_170_17
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author Bata, Abdel-Kémal Bori
Sawadogo, Adama
D’ostrevy, Nicolas
Geoffroy, Etienne
Dauphin, Nicolas
Eljezi, Vedat
Azarnoush, Kasra
Camilleri, Lionel
author_facet Bata, Abdel-Kémal Bori
Sawadogo, Adama
D’ostrevy, Nicolas
Geoffroy, Etienne
Dauphin, Nicolas
Eljezi, Vedat
Azarnoush, Kasra
Camilleri, Lionel
author_sort Bata, Abdel-Kémal Bori
collection PubMed
description OBJECTIVES: To report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure. METHODS: It consisted of a retrospective and descriptive study based on the database from the department of cardiovascular surgery. SETTING: University hospital clinic. PATIENTS: One hundred and sixty-one patients have participated in the study. Included were all patients who presented with left-sided heart or biventricular failure. Those who were suffering from either isolate respiratory failure or isolate right ventricle failure were excluded. INTERVENTIONS: Participants underwent ECLS: central ECLS or peripheral ECLS. RESULTS: The mean age of the patients was 54 years; there were 73% of male patients and the mean duration of ECLS was 5.3 days. There were two types of ECLS: central (71%) and peripheral (29%). Indications for support were dominated by cardiogenic shock in 69%. Bleeding was the most frequent complication (23.5%). The overall in-hospital mortality of patients who underwent ECLS was 60%. CONCLUSION: The number of ECLS performed increases in proportion to mastery of surgical technique. There is a high rate of mortality and morbidity with ECLS. However, it remains a lifesaving therapy for many clinically urgent situations.
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spelling pubmed-59142202018-05-07 Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand Bata, Abdel-Kémal Bori Sawadogo, Adama D’ostrevy, Nicolas Geoffroy, Etienne Dauphin, Nicolas Eljezi, Vedat Azarnoush, Kasra Camilleri, Lionel Ann Card Anaesth Original Article OBJECTIVES: To report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure. METHODS: It consisted of a retrospective and descriptive study based on the database from the department of cardiovascular surgery. SETTING: University hospital clinic. PATIENTS: One hundred and sixty-one patients have participated in the study. Included were all patients who presented with left-sided heart or biventricular failure. Those who were suffering from either isolate respiratory failure or isolate right ventricle failure were excluded. INTERVENTIONS: Participants underwent ECLS: central ECLS or peripheral ECLS. RESULTS: The mean age of the patients was 54 years; there were 73% of male patients and the mean duration of ECLS was 5.3 days. There were two types of ECLS: central (71%) and peripheral (29%). Indications for support were dominated by cardiogenic shock in 69%. Bleeding was the most frequent complication (23.5%). The overall in-hospital mortality of patients who underwent ECLS was 60%. CONCLUSION: The number of ECLS performed increases in proportion to mastery of surgical technique. There is a high rate of mortality and morbidity with ECLS. However, it remains a lifesaving therapy for many clinically urgent situations. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5914220/ /pubmed/29652281 http://dx.doi.org/10.4103/aca.ACA_170_17 Text en Copyright: © 2018 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bata, Abdel-Kémal Bori
Sawadogo, Adama
D’ostrevy, Nicolas
Geoffroy, Etienne
Dauphin, Nicolas
Eljezi, Vedat
Azarnoush, Kasra
Camilleri, Lionel
Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title_full Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title_fullStr Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title_full_unstemmed Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title_short Indications and Perioperative Outcomes of Extracorporeal Life Support in Clermont-Ferrand
title_sort indications and perioperative outcomes of extracorporeal life support in clermont-ferrand
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914220/
https://www.ncbi.nlm.nih.gov/pubmed/29652281
http://dx.doi.org/10.4103/aca.ACA_170_17
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