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Ann Thorac Surg 2004;77:157
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Invited commentary

Nicholas Smedira, MD

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F25, Cleveland, OH 44195, USA

e-mail: smedirn@ccf.org

The first 20% of the full text of this article appears below.

Fortunately, postcardiotomy mechanical support is required in only 0.5% to 1.0% of cardiac operations. Extracorporeal membrane oxygenation is very versatile, providing both cardiac and pulmonary support, is portable, easy to run, and inexpensive. Vascular access can be obtained through the peripheral circulation. However, a tremendous amount of resources will be utilized to support patients who die 75% of the time. How can information provided in this and other recently published series be used to optimally manage patients?

Although peripheral access is often convenient, it is . . . [Full Text of this Article]






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