Document Detail


Extracorporeal membrane oxygenation with a poly-methylpentene oxygenator (Quadrox D). The experience of a single Italian centre in adult patients with refractory cardiogenic shock.
MedLine Citation:
PMID:  18204321     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although microporous polypropylene hollow fiber oxygenators are standard devices used for extracorporeal membrane oxygenation (ECMO), they have limitations such as development of plasma leakage. Poly-methylpentene (PMP) is a new material used for the last generation of oxygenators. We reviewed our experience with a new PMP oxygenator (Quadrox D) and a centrifugal pump (RotaFlow) used to support adult patients with refractory cardiogenic shock. Between January 2000 and April 2007, 25 patients required ECMO for primary or postcardiotomy cardiogenic shock. Eighteen patients were analyzed [mean age 60.2 years; 11 (61%) men; 7 (39%) women]. Nine patients (50%) suffered primary cardiogenic shock. Cardiopulmonary resuscitation was applied in 11 patients (61%) with a mean duration time of 31.5 minutes. Mean ECMO duration time was 7.1 +/- 6.3 days (range, 1-27 days). Intra-aortic balloon pump was used in 13 patients (72.2%) with a mean duration time of 7.7 +/- 5 (range, 2-17 days). Twelve patients (66.7%) survived on ECMO and five patients (27.8%) were discharged. Our results indicate the PMP oxygenator and the centrifugal pump provided acceptable results in terms of surviving on ECMO and discharge. Patients with an initial catastrophic hemodynamic status could benefit by means of a rapid institution of ECMO with PMP oxygenators.
Authors:
Francesco Formica; Leonello Avalli; Antonello Martino; Elena Maggioni; Maria Muratore; Orazio Ferro; Antonio Pesenti; Giovanni Paolini
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  54     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-94     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Clinic, University of Milano-Bicocca, Monza, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Alkenes / chemistry*
Extracorporeal Membrane Oxygenation*
Female
Heart-Assist Devices
Humans
Italy
Male
Middle Aged
Oxygen / chemistry
Oxygenators*
Oxygenators, Membrane
Polymers / pharmacology*
Postoperative Complications
Shock, Cardiogenic / drug therapy*
Chemical
Reg. No./Substance:
0/Alkenes; 0/Polymers; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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