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Extracorporeal Membrane Oxygenation Support in Postcardiotomy Elderly Patients: The Mayo Clinic Experience

Sunday, April 19, 2015

Submitted by

Arie Blitz

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975(15)00127-7/abstract

Author(s)

Pankaj Saxena, James Neal, Lyle D. Joyce, Kevin L. Greason, Hartzell V. Schaff, Pramod Guru, William Y. Shi, Harold Burkhart, Zhuo Li, William C. Oliver, Roxann B. Pike, Dawit T. Haile, Gregory J. Schears

The Mayo Clinic reviewed its series using VA ECMO for postcardiotomy support in patients older than the age of 70 years. Not surprisingly, only a quarter of patients were able to be discharged alive. Preop atrial fibrillation, chronic kidney disease, lactic acidosis on support, and persistent coagulopathy were each associated with a higher mortality.