التفاصيل البيبلوغرافية
| العنوان: |
Venoarterial Extracorporeal Membrane Oxygenation With or Without Advanced Intervention for Massive Pulmonary Embolism |
| المؤلفون: |
Cardona, Stephanie, Downing, Jessica V, Witting, Michael D, Haase, Daniel J, Powell, Elizabeth K, Dahi, Siamak, Pasrija, Chetan, Tran, Quincy K |
| المصدر: |
Perfusion ; page 026765912311779 ; ISSN 0267-6591 1477-111X |
| بيانات النشر: |
SAGE Publications |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Advanced and Specialized Nursing, Cardiology and Cardiovascular Medicine, Safety Research, Radiology, Nuclear Medicine and imaging, General Medicine |
| الوصف: |
Introduction Massive pulmonary embolism (MPE) is a rare but highly fatal condition. Our study’s objective was to evaluate the association between advanced interventions and survival among patients with MPE treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO). Methods This is a retrospective review of the Extracorporeal Life Support Organization (ELSO) registry data. We included adult patients with MPE who were treated with VA-ECMO during 2010–2020. Our Primary outcome was survival to hospital discharge; secondary outcomes were ECMO duration among survivors and rates of ECMO-related complications. Clinical variables were compared using the Pearson chi-square and Kruskal-Wallis H tests. Results We included 802 patients; 80 (10%) received SPE and 18 (2%) received CDT. Overall, 426 (53%) survived to discharge; survival was not significantly different among those treated with SPE or CDT on VA-ECMO (70%) versus VA-ECMO alone (52%) or SPE or CDT before VA-ECMO (52%). Multivariable regression found a trend towards increased survival among those treated with SPE or CDT while on ECMO (AOR 1.8, 95% CI 0.9–3.6), but no significant correlation. There was no association between advanced interventions and ECMO duration among survivors, or rates of ECMO-related complications. Conclusion Our study found no difference in survival in patients with MPE who received advanced interventions prior to ECMO, and a slight non-significant benefit in those who received advanced interventions while on ECMO. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1177/02676591231177909 |
| الإتاحة: |
https://doi.org/10.1177/02676591231177909Test |
| حقوق: |
http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest |
| رقم الانضمام: |
edsbas.898449A8 |
| قاعدة البيانات: |
BASE |
