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Indications and perioperative outcomes of extracorporeal life support in clermont-ferrand


1 Department of Cardiovascular Surgery, Gabriel Montpied University Hospital, France
2 Department of Cardiothoracic Surgery, Queen Elizabeth University Hospital, Birmingham, United Kingdom; Department of Thoracic and Cardiovascular Surgery, University Hospital of Fann, Dakar, Senegal
3 Department of Cardiovascular Surgery, Gabriel Montpied University Hospital; Department of Adult Cardiac Surgery, University of Auvergne, Clermont-Ferrand, France

Correspondence Address:
Adama Sawadogo
Department of Cardiothoracic Surgery, Queen Elizabeth University Hospital, Birmingham
Senegal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_170_17

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Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 181-184

 

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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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1 Department of Cardiovascular Surgery, Gabriel Montpied University Hospital, France
2 Department of Cardiothoracic Surgery, Queen Elizabeth University Hospital, Birmingham, United Kingdom; Department of Thoracic and Cardiovascular Surgery, University Hospital of Fann, Dakar, Senegal
3 Department of Cardiovascular Surgery, Gabriel Montpied University Hospital; Department of Adult Cardiac Surgery, University of Auvergne, Clermont-Ferrand, France

Correspondence Address:
Adama Sawadogo
Department of Cardiothoracic Surgery, Queen Elizabeth University Hospital, Birmingham
Senegal
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_170_17

Rights and Permissions

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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