ArticleAnnals of cardiothoracic surgery2019
Long-term survival and major outcomes in post-cardiotomy extracorporeal membrane oxygenation for adult patients in cardiogenic shock.
Article in Annals of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Veno-Arterial Extracorporeal Life Support in Heart Transplant and Ventricle Assist Device Centres. Meta-analysis.ESC heart failure · 2021Pooled it
- Extracorporeal Membrane Oxygenation in Cardiogenic Shock due to Acute Myocardial Infarction: A Systematic Review.BioMed research international · 2020Pooled it
- Feasibility and outcomes of anaesthesiology- and intensive care-led ECPR in a hospital without cardiac surgery: a 2.5-year prospective registry.BMC anesthesiology · 2026Article
- Article
- Role of age in prognostication of hospital mortality in postcardiotomy patients supported with extracorporeal membrane oxygenation.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025Article
- Prevalence and Neurological Outcomes of Comatose Patients With Extracorporeal Membrane Oxygenation.Journal of cardiothoracic and vascular anesthesia · 2024Observational
- Neurologic complications in patients receiving aortic versus subclavian versus femoral arterial cannulation for post-cardiotomy extracorporeal life support: results of the PELS observational multicenter study.Critical care (London, England) · 2024Observational
- Mid-Term Outcome after Extracorporeal Life Support in Postcardiotomy Cardiogenic Shock: Recovery and Quality of Life.Journal of clinical medicine · 2024Article
- Comparative Analysis of Therapeutic Strategies in Post-Cardiotomy Cardiogenic Shock: Insight into a High-Volume Cardiac Surgery Center.Journal of clinical medicine · 2024Article
- Troponin T and Survival following Cardiac Surgery in Patients Supported with Extracorporeal Membrane Oxygenation for Post-Cardiotomy Shock.Diagnostics (Basel, Switzerland) · 2023Article
- Patient and Management Variables Associated With Survival After Postcardiotomy Extracorporeal Membrane Oxygenation in Adults: The PELS-1 Multicenter Cohort Study.Journal of the American Heart Association · 2023Article
- Effect of venoarterial extracorporeal membrane oxygenation initiation timing on tricuspid valve surgery outcomes.JTCVS open · 2023Article
- Bleeding and thrombotic events in post-cardiotomy extracorporeal life support.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
- Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock.Methodist DeBakey cardiovascular journal · 2023Review
- Postcardiotomy extracorporeal membrane oxygenation for infective endocarditis in a patient with intravenous drug use and COVID-19 infection: An ethical dilemma.Turk gogus kalp damar cerrahisi dergisi · 2022Article
- Venoarterial Extracorporeal Membrane Oxygenation for Postcardiotomy Shock-Analysis of the Extracorporeal Life Support Organization Registry.Critical care medicine · 2021Article
- Veno-arterial extracorporeal membrane oxygenation: Special reference for use in 'post-cardiotomy cardiogenic shock' - A review with an Indian perspective.Indian journal of thoracic and cardiovascular surgery · 2021Article
- Clinical outcomes of postoperative extracorporeal membrane oxygenation support in Stanford type a aortic dissection.BMC anesthesiology · 2021Article
- A Standardized and Comprehensive Approach to the Management of Cardiogenic Shock.JACC. Heart failure · 2020Review
- Article
Corrections and comments
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Authors and funding
17 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Extracorporeal membrane oxygenation (ECMO) in the veno-arterial (VA) configuration is an established method for the treatment of refractory cardiogenic shock. Such a condition characterizes the postoperative course of approximatively 1% of cardiac surgery patients. Although some studies have reported ECMO-related short-term results, little is known about the long-term outcomes of VA-ECMO therapy in the post-cardiotomy setting. Therefore, an extensive literature search was conducted regarding articles published after 1990 reporting postoperative ECMO use. PubMed, EMBASE and Web of Science were searched for sources. In-hospital mortality was high in post-cardiotomy VA-ECMO patients, ranging from 24.8% to 52%. Long-term results were poorly reported. However, based on the limited information available, hospital survivors showed a favorable outcome, with improvement in overall clinical condition, quality of life and limited hospital readmission for cardiac-related events. To conclude, in-hospital outcome in post-cardiotomy ECMO is often unfavorable, post-discharge results show satisfactory condition, with stable improvement of overall patient clinical status and low rate of hospital readmission and cardiac-related adverse events. Data reporting is, however, scarce and hence new and detailed studies are still warranted to investigate such aspects.
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