hrcak mascot   Srce   HID

Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2014.55.600

Results of extracorporeal life support implementation in routine clinical practice: single center experience

Bojan Biočina ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Mate Petričević ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Dražen Belina ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Hrvoje Gašparović ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Lucija Svetina ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Sanja Konosić ; Department of Anesthesiology, University Hospital Center Zagreb, Zagreb, Croatia
Alexandra White ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Višnja Ivančan ; Department of Anesthesiology, University Hospital Center Zagreb, Zagreb, Croatia
Tomislav Kopjar ; Department of Cardiac Surgery, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia
Davor Miličić ; Department of Cardiovascular Diseases, University of ZagrebSchool of Medicine, UniversityHospital Center Zagreb, Zagreb,Croatia

Puni tekst: engleski, pdf (654 KB) str. 600-608 preuzimanja: 333* citiraj
APA 6th Edition
Biočina, B., Petričević, M., Belina, D., Gašparović, H., Svetina, L., Konosić, S., ... Miličić, D. (2014). Results of extracorporeal life support implementation in routine clinical practice: single center experience. Croatian Medical Journal, 55 (6), 600-608. https://doi.org/10.3325/cmj.2014.55.600
MLA 8th Edition
Biočina, Bojan, et al. "Results of extracorporeal life support implementation in routine clinical practice: single center experience." Croatian Medical Journal, vol. 55, br. 6, 2014, str. 600-608. https://doi.org/10.3325/cmj.2014.55.600. Citirano 17.10.2021.
Chicago 17th Edition
Biočina, Bojan, Mate Petričević, Dražen Belina, Hrvoje Gašparović, Lucija Svetina, Sanja Konosić, Alexandra White, Višnja Ivančan, Tomislav Kopjar i Davor Miličić. "Results of extracorporeal life support implementation in routine clinical practice: single center experience." Croatian Medical Journal 55, br. 6 (2014): 600-608. https://doi.org/10.3325/cmj.2014.55.600
Harvard
Biočina, B., et al. (2014). 'Results of extracorporeal life support implementation in routine clinical practice: single center experience', Croatian Medical Journal, 55(6), str. 600-608. https://doi.org/10.3325/cmj.2014.55.600
Vancouver
Biočina B, Petričević M, Belina D, Gašparović H, Svetina L, Konosić S i sur. Results of extracorporeal life support implementation in routine clinical practice: single center experience. Croat Med J. [Internet]. 2014 [pristupljeno 17.10.2021.];55(6):600-608. https://doi.org/10.3325/cmj.2014.55.600
IEEE
B. Biočina, et al., "Results of extracorporeal life support implementation in routine clinical practice: single center experience", Croatian Medical Journal, vol.55, br. 6, str. 600-608, 2014. [Online]. https://doi.org/10.3325/cmj.2014.55.600

Sažetak
Aim To describe our experience in the clinical application
of extracorporeal life support (ECLS) and analyze whether
ECLS leads to acceptable clinical outcomes in patients with
cardiac failure.
Methods Data from clinical database of University Hospital
Center Zagreb, Croatia, on 75 patients undergoing ECLS
support from 2009 to 2014 due to cardiac failure were retrospectively
analyzed. Outcomes were defined as procedural
and clinical outcomes. ECLS as a primary procedure
and ECLS as a postcardiotomy procedure due to inability
to wean from cardiopulmonary bypass were analyzed.
Results ECLS was used in 75 adult patients, and in 24
(32%) of those procedural success was noted. ECLS was
implemented as a primary procedure in 36 patients and
as a postcardiotomy procedure in 39 patients. Nine out of
39 (23.08%) patients had postcardiotomy ECLS after heart
transplantation. Bleeding complications occurred in 30
(40%) patients, both in primary (11/36 patients) and postcardiotomy
group (19/39 patients). ECLS was established
by peripheral approach in 46 patients and by central cannulation
in 27 patients. In 2 patients, combined cannulation
was performed, with an inflow cannula placed into
the right atrium and an outflow cannula placed into the
femoral artery. Eleven patients treated with peripheral approach
had ischemic complications.
Conclusion ECLS is a useful tool in the treatment of patients
with refractory cardiac failure and its results are encouraging
in patients who otherwise have an unfavorable
prognosis. Patient outcomes may be further improved by
technological advances, more clinical experience in application
of the technique, careful patient selection, and multidisciplinary
approach in patient management

Hrčak ID: 139288

URI
https://hrcak.srce.hr/139288

Posjeta: 571 *