Comparing Outcomes of Post-Cardiotomy Cardiogenic Shock Patients
On-Site Cannulation vs. Retrieval for V-A ECMO Support
Mihu MR, El Banayosy AM, Harper MD, Cain K, Maybauer MO, Swant LV, Brewer JM, Schoaps RS, Sharif A, Benson C, Freno D, Bell M, Chaffin J, Elkins C, Vanhooser D and El Banayosy A. J Clin Med. DOI 10.3390/jcm13113265
Background: Post-cardiotomy cardiogenic shock (PCCS) remains a life-threatening complication after cardiac surgery. Extracorporeal membrane oxygenation (ECMO) represents the mainstay of mechanical circulatory support for PCCS; however, its availability is limited to larger experienced centers, leading to a mismatch between centers performing cardiac surgery and hospitals offering ECMO management beyond cannulation. We sought to evaluate the outcomes and complications of PCCS patients requiring veno-arterial (V-A) ECMO cannulated at our hospital compared to those cannulated at referral hospitals.