Extracorporeal Membrane Oxygenation in Aortic Surgery and Dissection: A Systematic Review

Tuesday, January 14, 2020

Submitted by

Wei-Guo Ma

Source

Source Name: World Journal of Critical Care Medicine

Source URL: https://www.wjgnet.com/2220-3141/full/v8/i8/135.htm?s=qc

Author(s)

Massimo Capoccia and Marc O Maybauer

Capoccia and Maybauer performed a system review of 29 publications related to the use of ECMO in aortic surgery and aortic dissection. A total of 194 patients who had been treated with ECMO support were identified, with a survival rate of 39.7% (77/194). The authors conclude that the use of ECMO in major aortic surgery or dissection is justified, despite that there is no compelling evidence for or against the use of ECMO in this patient population.

Comments

Submitted by Rafael Schneidewind on Fri, 2020-01-17 19:00

in my opinion one of the obstacles to better outcomes is that vasoplegia and inflammation, caused by dissection and the respective surgery, this is worsed by the use of ecmo that could lead the patient to Death