Outcomes of patients with acute respiratory failure on veno-venous extracorporeal membrane oxygenation requiring additional circulatory support by veno-venoarterial extracorporeal membrane oxygenation

Erlebach, Rolf; Wild, Lennart C; Seeliger, Benjamin; Rath, Ann-Kathrin; Andermatt, Rea; Hofmaenner, Daniel A; Schewe, Jens-Christian; Ganter, Christoph C; Müller, Mattia; Putensen, Christian; Natanov, Ruslan; Kühn, Christian; Bauersachs, Johann; Welte, Tobias; Hoeper, Marius M; Wendel-Garcia, Pedro D; David, Sascha; Bode, Christian; Stahl, Klaus

doi:10.5167/uzh-221234

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Erlebach, R., Wild, L. C., Seeliger, B., Rath, A.-K., Andermatt, R., Hofmaenner, D. A., Schewe, J.-C., Ganter, C. C., Müller, M., Putensen, C., Natanov, R., Kühn, C., Bauersachs, J., Welte, T., Hoeper, M. M., Wendel-Garcia, P. D., David, S., Bode, C., & Stahl, K. (2022). Outcomes of patients with acute respiratory failure on veno-venous extracorporeal membrane oxygenation requiring additional circulatory support by veno-venoarterial extracorporeal membrane oxygenation. Frontiers in Medicine, 9, 1000084. https://doi.org/10.3389/fmed.2022.1000084

Abstract

ObjectiveVeno-venous (V-V) extracorporeal membrane oxygenation (ECMO) is increasingly used to support patients with severe acute respiratory distress syndrome (ARDS). In case of additional cardio-circulatory failure, some experienced centers upgrade the V-V ECMO with an additional arterial return cannula (termed V-VA ECMO). Here we analyzed short- and long-term outcome together with potential predictors of mortality.DesignMulticenter, retrospective analysis between January 2008 and September 2021.SettingThree tertiary care ECMO center