Extracorporeal membrane oxygenation in circulatory and respiratory failure – A single-center experience

Silva, Marisa Passos; Caeiro, Daniel; Fernandes, Paula Roquetti; Guerreiro, Cláudio; Vilela, Eduardo; Ponte, Marta; Dias, Adelaide; Alves, Fábio Abreu; Morais, Jorge; Mello, Andreza; Santos, Lino; Castelões, Paula; Gama, Vasco

doi:10.1016/j.repce.2017.01.006

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…Most studies have considered the incidence of AKI to be higher in patients requiring VA ECMO than in those requiring VV ECMO for a long time. 19,20,40 Our findings suggest that the key difference should perhaps be focused on the outcomes associated with AKI (especially severe AKI) during different types of ECMO instead of AKI incidence. VA ECMO is performed as a means of cardiocirculatory support with or without respiratory failure, 41 simultaneously providing oxygen delivery.…”

Section: Discussionmentioning

confidence: 89%

Acute Kidney Injury During Extracorporeal Membrane Oxygenation: VA ECMO Versus VV ECMO

Mou

Guan

et al. 2021

J Intensive Care Med

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Purpose Acute kidney injury (AKI) has been reported to be one of the most common complications in patients receiving extracorporeal membrane oxygenation (ECMO), yet variations in AKI between different types of ECMO remain unclear. This meta-analysis systematically compares AKI/severe AKI in adult patients requiring different types of ECMO. Methods Two authors independently performed a literature search using PubMed, Web of Science, and Embase, encompassing publications up until April 20, 2020 (inclusive). The number of AKI patients, including patients who required/did not require renal replacement therapy (RRT), and deceased patients with AKI/severe AKI, who received different types of ECMO were collated and analyzed using STATA. Results The results indicated that there were no significant differences in the risk of AKI/severe AKI among different types of ECMO. However, the presence of AKI and severe AKI during veno-arterial (VA) ECMO was more strongly associated with mortality. Conclusions Although mortality rates related to AKI/severe AKI during VV ECMO are high, the occurrence of AKI/severe AKI during VA ECMO should be given greater attention, as these instances are considered strong indicators of patient deterioration and even death. Additional studies are needed to corroborate these findings.

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Section: Discussionmentioning

confidence: 89%

Acute Kidney Injury During Extracorporeal Membrane Oxygenation: VA ECMO Versus VV ECMO

Mou

Guan

et al. 2021

J Intensive Care Med

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“…The types of ECMO selected by physicians is determined by the types of organs requiring support, the types of patients treated, and the desired outcome. 4 Most studies 21,22,32 have considered the incidence of AKI among patients requiring VA ECMO as being higher than those requiring VV ECMO for a long time. VA ECMO is performed for cardiocirculatory support with or without respiratory failure, 33 simultaneously providing oxygen delivery and cardiac support.…”

Section: Discussionmentioning

confidence: 99%

No Difference in Risk of Acute Kidney Injury Between Adult Patients Receiving Different Types of Extracorporeal Membrane Oxygenation

Mou

Zhou

2020

Preprint

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Acute kidney injury (AKI) has been reported as one of the most common complications in patients receiving extracorporeal membrane oxygenation (ECMO), yet the risk of AKI on different types of ECMO remains unclear. This meta-analysis aimed to compare risk of AKI among adult patients requiring different types of ECMO. Two authors independently performed a literature search using PubMed, Web of Science, and Embase, encompassing publications up until Arpril 20, 2020 (inclusive). The number of AKI patients, non-AKI patients, patients required RRT and patients not required RRT receiving different types of ECMO were derived and analyzed by STATA. The results indicated there was no significant difference in risk of AKI (OR, 1.54; 95% CI: 0.75-3.16; P= 0.235) and severe AKI required RRT (OR, 1.0; 95% CI: 0.66-1.5, P= 0.994) in patients receiving different types of ECMO. In Conclusion, no difference in risk of AKI and severe AKI required RRT between patients receiving VA ECMO and VV ECMO. More studies are required to support the findings.

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Highlights of the Portuguese Journal of Cardiology in 2017

Gomes

2018

Revista Portuguesa de Cardiologia (English Edition)

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Extracorporeal membrane oxygenation in circulatory and respiratory failure – A single-center experience

Cited by 4 publications

References 32 publications

Acute Kidney Injury During Extracorporeal Membrane Oxygenation: VA ECMO Versus VV ECMO

Acute Kidney Injury During Extracorporeal Membrane Oxygenation: VA ECMO Versus VV ECMO

No Difference in Risk of Acute Kidney Injury Between Adult Patients Receiving Different Types of Extracorporeal Membrane Oxygenation

Highlights of the Portuguese Journal of Cardiology in 2017

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