ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Daniel Zimpfer
Martin Czerny
Ernst Wolner
Michael Grimm
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zimpfer, D.
Right arrow Articles by Grimm, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zimpfer, D.
Right arrow Articles by Grimm, M.
Related Collections
Right arrow Extracorporeal circulation

Ann Thorac Surg 2006;81:892-895
© 2006 The Society of Thoracic Surgeons


Original article: Cardiovascular

Late Vascular Complications After Extracorporeal Membrane Oxygenation Support

Daniel Zimpfer, MD a , * , Birgit Heinisch, MD c , Martin Czerny, MD a , Thomas Hoelzenbein, MD b , Sharok Taghavi, MD a , Ernst Wolner, MD, PhD a , Michael Grimm, MD a

a Department of Cardiothoracic Surgery, Medical University Vienna, Vienna, Austria
b Department of Vascular Surgery, Medical University Vienna, Vienna, Austria
c Department of Clinical Pharmacology, Medical University Vienna, Vienna, Austria

Accepted for publication September 26, 2005.

* Address correspondence to Dr Zimpfer, Department of Cardiothoracic Surgery, Medical University Vienna, Wahringer Guertel 18-20, A-1090 Vienna, Austria (Email: daniel.zimpfer{at}meduniwien.ac.at).

BACKGROUND: Extracorporeal membrane oxygenation support through the groin vessels is an established treatment option for patients with life-threatening conditions, resistant to medical treatment. However, because of critical status and type of vascular access, late vascular complications are a potential risk.

METHODS: From January 1998 through December 2004, 174 adults (mean age, 45 ± 19 years) undergoing either cardiac surgery (n = 54, 31.4%) or lung transplantation (n = 120, 68.6%) were supported with extracorporeal membrane oxygenation. Data were prospectively collected and retrospectively analyzed. Follow-up extended up to 60 months (mean, 30 ± 10 months). Multivariable regression analysis was used to identify predictors of late vascular complications.

RESULTS: Hospital survival was 57.3%. A total of 12 hospital survivors (12.2%) experienced late vascular complications. All late vascular complications were local stenosis at the former arterial cannulation site. Treatment was done by means of femorofemoral crossover bypass (n = 3), iliofemoral bypass (n = 1), thromboendarterectomy (n = 3), and percutaneous transluminal angioplasty (n = 5). We experienced no limb loss during follow-up. Predictors for long-term vascular complications were technical problems during extracorporeal membrane oxygenation explantation (p = 0.002; odds ratio, 23.2) and history of peripheral vascular disease (p = 0.015; odds ratio, 3.1).

CONCLUSIONS: Extracorporal membrane oxygenation support is associated with the development of late vascular complications at the femoral access site. In selected patients alternative cannulation sites should be considered.




This article has been cited by other articles:


Home page
European Heart Journal: Acute Cardiovascular CareHome page
A. Roussel, N. Al-Attar, S. Alkhoder, C. Radu, R. Raffoul, M. Alshammari, P. Montravers, M. Wolff, and P. Nataf
Outcomes of percutaneous femoral cannulation for venoarterial extracorporeal membrane oxygenation support
European Heart Journal: Acute Cardiovascular Care, June 1, 2012; 1(2): 111 - 114.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
T. Bisdas, G. Beutel, G. Warnecke, M. M. Hoeper, C. Kuehn, A. Haverich, and O. E. Teebken
Vascular Complications in Patients Undergoing Femoral Cannulation for Extracorporeal Membrane Oxygenation Support
Ann. Thorac. Surg., August 1, 2011; 92(2): 626 - 631.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
C. F. Russo, A. Cannata, M. Lanfranconi, G. Bruschi, F. Milazzo, R. Paino, and L. Martinelli
Veno-arterial extracorporeal membrane oxygenation using Levitronix centrifugal pump as bridge to decision for refractory cardiogenic shock
J. Thorac. Cardiovasc. Surg., December 1, 2010; 140(6): 1416 - 1421.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M.-L. Felten, M. Michel-Cherqui, P. Puyo, and M. Fischler
Extracorporeal Membrane Oxygenation Use for Mediastinal Tumor Resection
Ann. Thorac. Surg., March 1, 2010; 89(3): 1012 - 1012.
[Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
P.-S. Hsu, J.-L. Chen, G.-J. Hong, Y.-T. Tsai, C.-Y. Lin, C.-Y. Lee, Y.-G. Chen, and C.-S. Tsai
Extracorporeal membrane oxygenation for refractory cardiogenic shock after cardiac surgery: predictors of early mortality and outcome from 51 adult patients
Eur J Cardiothorac Surg, February 1, 2010; 37(2): 328 - 333.
[Abstract] [Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
C. D'Alessandro, S. Aubert, J. L. Golmard, B. L. Praschker, C. E. Luyt, A. Pavie, I. Gandjbakhch, and P. Leprince
Extra-corporeal membrane oxygenation temporary support for early graft failure after cardiac transplantation
Eur J Cardiothorac Surg, February 1, 2010; 37(2): 343 - 349.
[Abstract] [Full Text] [PDF]


Home page
Interact CardioVasc Thorac SurgHome page
L. A. Bockeria, K. V. Shatalov, I. V. Arnautova, and M. M. Makhalin
eComment: Re: Extracorporeal membrane oxygenation for treatment of cardiac failure in adult patients
Interact CardioVasc Thorac Surg, August 1, 2009; 9(2): 300 - 300.
[Full Text] [PDF]


Home page
PerfusionHome page
JingwenLi, Cun Long, Song Lou, Feilong Hei, Kun Yu, Shigang Wang, Shengshou Hu, Jianping Xu, Qian Chang, Ping Liu, et al.
Venoarterial extracorporeal membrane oxygenation in adult patients: predictors of mortality
Perfusion, July 1, 2009; 24(4): 225 - 230.
[Abstract] [PDF]


Home page
Ann. Thorac. Surg.Home page
C. A. Bermudez, P. S. Adusumilli, K. R. McCurry, D. Zaldonis, M. M. Crespo, J. M. Pilewski, and Y. Toyoda
Extracorporeal Membrane Oxygenation for Primary Graft Dysfunction After Lung Transplantation: Long-Term Survival
Ann. Thorac. Surg., March 1, 2009; 87(3): 854 - 860.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Berman, S. Tsui, A. Vuylsteke, A. Snell, S. Colah, R. Latimer, R. Hall, J. E. Arrowsmith, J. Kneeshaw, A. A. Klein, et al.
Successful Extracorporeal Membrane Oxygenation Support After Pulmonary Thromboendarterectomy
Ann. Thorac. Surg., October 1, 2008; 86(4): 1261 - 1267.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
F. Bakhtiary, H. Keller, S. Dogan, O. Dzemali, F. Oezaslan, D. Meininger, H. Ackermann, B. Zwissler, P. Kleine, and A. Moritz
Venoarterial extracorporeal membrane oxygenation for treatment of cardiogenic shock: clinical experiences in 45 adult patients.
J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 382 - 388.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The Society of Thoracic Surgeons.