An enthusiastic yet balanced and succinct editorial on the occasion of a small series with short follow-up and absolute survival of ECMO-supported recipients of pulmonary transplantation (mostly with interstitial fibrosis) with short waiting time after ECMO (less than 16 days).
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ECMO
November 16, 2017
June 28, 2017
The authors report on 38 patients who underwent bilateral lung transplantation for severe pulmonary hypertension with routine application of prophylactic postoperative veno-arterial extracorporeal membrane oxygenation (ECMO).
March 5, 2017
The authors report the use of ECMO in 8 pts who suffered ARDS after pneumonectomy. Predicted mortality was 80% prior to ECMO institution. ECMO was weaned in 7 pts and overall hospital survival was 50%.
February 21, 2017
This video describes an unusual case of sinus of Valsalva aneurysm rupture, which presented as acute appendicitis and clinical sepsis. ECMO initiation is an absolute contraindication in the setting of unrestricted pulmonary blood flow.
January 31, 2017
The authors of this review article offer an approach to the utilization of a contempory mechanical circulatory support devices. They further provide insights of the key role that well-functioning interdisciplinary teams contribute to the success of a MCS program and future directions to consider as this field continues to rapidly evolve.
January 25, 2017
In a bold and very challenging move, thoracic surgeons at Toronto General Hospital (TGH) removed severely infected lungs from a dying mom, keeping her alive without them for six days, so that she could recover enough to receive a life-saving lung transplant.
November 23, 2016
An institutional registry of ECMO patients was surveyed to determine predictors of survival among patients receiving ECMO in the presence of sepsis. Among 151 studied patients, pneumonia was the most common cause of sepsis. Mortality was predicted by advanced age, longer door-to ECMO times, gram-negative sepsis, and sepsis due to infections other t
October 13, 2016
This single-center study explored the relationship between spontaneous echo contrast (SEC) and the incidence of thromboembolism and CVA in 98 patients undergoing peripheral VA ECMO. Twenty-two percent of patients had SEC while they were on ECMO. Those exhibiting SEC had significantly higher rates of intracardiac thrombus (46% v.
September 19, 2016
It’s well known that VAD and ECMO are associated with bleeding and decreased platelet activity. This study investigated whether loss of platelet receptors occurred in 21 VAD patients and 20 ECMO patients.
July 24, 2016
The authors, using 2 groups of patients, 32 ECMO and 53 non-ECMO, both with a diagnosis of ARDS, describe the two groups' severity of illness, medication regimen and use or nonuse of ECMO therapy.