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Indications and perioperative outcomes of extracorporeal life support in clermont-ferrand

Abdel-Kémal Bori Bata1, Adama Sawadogo2, Nicolas D'ostrevy1

  • 1Department of Cardiovascular Surgery, Gabriel Montpied University Hospital, France.

Annals of Cardiac Anaesthesia
|April 14, 2018
PubMed

Insights

Extracorporeal life support (ECLS) is a life-saving therapy for critical heart failure, despite a high mortality rate. This study analyzes ECLS indications and outcomes in 161 patients.

Area of Science:

  • Cardiovascular Surgery
  • Critical Care Medicine
  • Medical Technology

Background:

  • Extracorporeal life support (ECLS) is a vital intervention for patients with severe heart failure.
  • Understanding the epidemiological profile, indications, and outcomes of ECLS is crucial for optimizing patient care.
  • Advancements in surgical techniques have increased the application of ECLS.

Purpose of the Study:

  • To describe the epidemiological characteristics of patients receiving ECLS.
  • To analyze the primary indications for ECLS initiation.
  • To evaluate the in-hospital outcomes and complications associated with ECLS.

Main Methods:

  • Retrospective and descriptive study utilizing a cardiovascular surgery department database.
  • Inclusion of 161 patients with left-sided or biventricular failure.
  • Exclusion of patients with isolated respiratory or right ventricle failure.

Main Results:

  • The study population had a mean age of 54 years, with 73% males.
  • Cardiogenic shock was the predominant indication (69%), with central ECLS used in 71% of cases.
  • The overall in-hospital mortality was 60%, with bleeding as the most common complication (23.5%).

Conclusions:

  • ECLS is associated with significant mortality and morbidity.
  • Despite risks, ECLS remains essential for managing life-threatening cardiovascular emergencies.
  • Increasing proficiency in ECLS techniques may correlate with its wider application.
Abstract

Keywords:
Cardiogenic shockcardiorespiratory supportextracorporeal life supportventricular failure

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