Use of ECMO in adult patients with cardiogenic shock: a position paper of the Austrian Society of Cardiology;Positionspapier der Österreichischen Kardiologischen Gesellschaft zum Einsatz der extrakorporalen Membranoxygenation (ECMO) bei Erwachsenen kardiologischen Patienten

Medizinische Klinik - Intensivmedizin und Notfallmedizin

Volumn 110, Issue 6, 2015, Pages 407-420

  Pichler, Philipp ^a   Antretter, Herwig ^b   Dünser, Martin ^c   Eschertzhuber, Stephan ^d   Gottardi, Roman ^c   Heinz, Gottfried ^a   Pölzl, Gerhard ^d   Pretsch, Ingrid ^c   Rajek, Angelika ^a   Wasler, Andrä ^e   Zimpfer, Daniel ^a   Geppert, Alexander ^f  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^c PARACELSUS MEDICAL UNIVERSITY   (Austria)

^d UNIVERSITY HOSPITAL INNSBRUCK   (Austria)

^e UNIVERSITY HOSPITAL GRAZ   (Austria)

^f WILHELMINEN HOSPITAL   (Austria)

Author keywords

Cardiogenic shock; Complications; ECMO; Guidelines; Indications; Resuscitation; Weaning

Indexed keywords

ADULT; ARTICLE; CARDIOGENIC SHOCK; CRITICALLY ILL PATIENT; EXTRACORPOREAL OXYGENATION; HEART FUNCTION; HEMODYNAMICS; HUMAN; PARAMETERS; PATIENT MONITORING; PRACTICE GUIDELINE; AUSTRIA; CONTRAINDICATIONS; DEVICES; EQUIPMENT DESIGN; INTENSIVE CARE; MEDICAL SOCIETY; PROTOCOL COMPLIANCE; RESUSCITATION; SHOCK, CARDIOGENIC; TREATMENT OUTCOME;

ADULT; AUSTRIA; CARDIOPULMONARY RESUSCITATION; CRITICAL CARE; EQUIPMENT DESIGN; EXTRACORPOREAL MEMBRANE OXYGENATION; GUIDELINE ADHERENCE; HUMANS; SHOCK, CARDIOGENIC; SOCIETIES, MEDICAL; TREATMENT OUTCOME;

EID: 84941996158     PISSN: 21936218     EISSN: 21936226     Source Type: Journal    
DOI: 10.1007/s00063-015-0052-9     Document Type: Article

References (70)

1. Bartlett RH. Physiology of extracorporeal life support. In: Zwischenberger JB, Steinhorn RH, Bartlett RH, Herausgeber. Extracorporeal cardiopulmonary support in critical care. 2. Aufl. Ann Arbor: Extracorporeal Life Support Organization (ELSO); 2000. S. 41–66.
2. Hines MH, Faza D, Wilson JM. ECMO: hemodynamics, perfusion, and blood volume. In: Zwischenberger JB, Steinhorn RH, Bartlett RH, Herausgeber. ECMO. Extracorporeal cardiopulmonary support in critical care. 2. Aufl. 2. Ann Arbor: Extracorporeal Life Support Organization (ELSO); 2000. S. 97–112.
3. Wendel HP. Beschichtungstechniken für Werkstoffe der EKZ-Systeme. In: Lauterbach G, Herausgeber. Handbuch der Kardiotechnik. München: Jena; 2002. S 106–24.
4. Beckmann A, Benk C, Beyersdorf F, Haimerl G, Merkle F, Mestres C, Pepper J, Wahba A. Position article for the use of extracorporeal life support in adult patients. Eur J Cardiothorac Surg. 2011;40(3):676–80.
5. Feindt P, Benk C, Boeken U, Bauer A, Mehlhorn U, Gehron J, Markewitz A, Beckmann A, Beyersdorf F. Use of extracorporeal circulation (ECC) outside the cardiac operating room: indications, requirements and recommendations for routine practice. Thorac Cardiovasc Surg. 2011;59(2):66–8.
6. Mullens W, Abrahams Z, Francis GS, Sokos G, Taylor DO, Starling RC, Young JB, Tang WH. Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol. 2009;53(7):589–96.
7. Javidfar J, Brodie D, Costa J, Miller J, Jurrado J, LaVelle M, Newmark A, Takayama H, Sonett JR, Bacchetta M. Subclavian artery cannulation for venoarterial extracorporeal membrane oxygenation. Asaio J. 2012;58(5):494–8.
8. Strickland R., Buttery J. and Frantzis P. http://pdf.choice.co.uk/doc-file/royal-adelaide-hospital-general-icu-ecmo-guidelines.
9. Annich GM, Lynch WR, MacLaren G, Wilson JM, Bartlett RH. Extracorporeal cardiopulmonary support in critical care. 4. Aufl. Ann Arbor: Extracorporeal Life Support Organization (ELSO); 2012.
10. Bull BS, Huse WM, Brauer FS, Korpman RA. Heparin therapy during extracorporeal circulation. II. The use of a dose-response curve to individualize heparin and protamine dosage. J Thorac Cardiovasc Surg. 1975;69(5):685–9.
11. Lawson DS, Walczak R, Lawson AF, Shearer IR, Ing R, Schulman S, Kern F, Jaggers J. North American neonatal extracorporeal membrane oxygenation (ECMO) devices: 2002 survey results. J Extra-Corpor Technol. 2004;36(1):16–21.
12. Young JA, Kisker CT, Doty DB. Adequate anticoagulation during cardiopulmonary bypass determined by activated clotting time and the appearance of fibrin monomer. Ann Thorac Surg. 1978;26(3):231–40.
13. Muntean W. Coagulation and anticoagulation in extracorporeal membrane oxygenation. Artif Organs. 1999;23(11):979–83.
14. Shapiro A. Antithrombin deficiency in special clinical syndromes–Part I: neonatal and pediatric/physiologic deficiency: extracorporeal membrane oxygenation. Semin Hematol. 1995; 32(4 Suppl 2):33–36.
15. Baird CW, Zurakowski D, Robinson B, Gandhi S, Burdis-Koch L, Tamblyn J, Munoz R, Fortich K, Pigula FA. Anticoagulation and pediatric extracorporeal membrane oxygenation: impact of activated clotting time and heparin dose on survival. Ann Thorac Surg. 2007;83(3):912–9; discussion 919–20.
16. Beiderlinden M, Treschan T, Gorlinger K, Peters J. Argatroban in extracorporeal membrane oxygenation. Artif Organs. 2007;31(6):461–5.
17. Koster A, Weng Y, Bottcher W, Gromann T, Kuppe H, Hetzer R. Successful use of bivalirudin as anticoagulant for ECMO in a patient with acute HIT. Ann Thorac Surg. 2007;83(5):1865–7.
18. Ranucci M, Ballotta A, Kandil H, Isgro G, Carlucci C, Baryshnikova E, Pistuddi V. Bivalirudin-based versus conventional heparin anticoagulation for postcardiotomy extracorporeal membrane oxygenation. Crit Care. 2011;15(6):R275.
19. Scott LK, Grier LR, Conrad SA. Heparin-induced thrombocytopenia in a pediatric patient receiving extracorporeal support and treated with argatroban. Pediatr Crit Care Med. 2006;7(3):255–7.
20. Kasirajan V, Smedira NG, McCarthy JF, Casselman F, Boparai N, McCarthy PM. Risk factors for intracranial hemorrhage in adults on extracorporeal membrane oxygenation. Eur J Cardiothorac Surg. 1999;15(4):508–14.
21. Heilmann C, Geisen U, Beyersdorf F, Nakamura L, Benk C, Trummer G, Berchtold-Herz M, Schlensak C, Zieger B. Acquired von Willebrand syndrome in patients with extracorporeal life support (ECLS). Intensive Care Med. 2012;38(1):62–8.
22. Burket JS, Bartlett RH, Vander Hyde K, Chenoweth CE. Nosocomial infections in adult patients undergoing extracorporeal membrane oxygenation. Clin Infect Dis. 1999;28(4):828–33.
23. Magliato KE, Kleisli T, Soukiasian HJ, Tabrizi R, Coleman B, Hickey A, Czer LS, Blanche C, Cheng W, Fontana GP, Kass RM, Raissi SS, Trento A. Biventricular support in patients with profound cardiogenic shock: a single center experience. ASAIO J. 2003;49(4):475–9.
24. O’Neill JM, Schutze GE, Heulitt MJ, Simpson PM, Taylor BJ. Nosocomial infections during extracorporeal membrane oxygenation. Intensive Care Med. 2001;27(8):1247–53.
25. Kao LS, Fleming GM, Escamilla RJ, Lew DF, Lally KP. Antimicrobial prophylaxis and infection surveillance in extracorporeal membrane oxygenation patients: a multi-institutional survey of practice patterns. ASAIO J. 2011;57(3):231–8.
26. Fong IW, Baker CB, McKee DC. The value of prophylactic antibiotics in aorat-coronary bypass operations: a double-blind randomized trial. J Thoracic Cardiovasc Surg. 1979;78(6):908–13.
27. Mulla H, Pooboni S. Population pharmacokinetics of vancomycin in patients receiving extracorporeal membrane oxygenation. Br J Clin Pharmacol. 2005;60(3):265–75.
28. Doll N, Kiaii B, Borger M, Bucerius J, Kramer K, Schmitt DV, Walther T, Mohr FW. Five-year results of 219 consecutive patients treated with extracorporeal membrane oxygenation for refractory postoperative cardiogenic shock. Ann Thorac Surg. 2004;77(1):151–7; discussion 157.
29. Luo XJ, Wang W, Hu SS, Sun HS, Gao HW, Long C, Song YH, Xu JP. Extracorporeal membrane oxygenation for treatment of cardiac failure in adult patients. Interact Cardiovasc Thorac Surg. 2009;9(2):296–300.
30. Rastan AJ, Lachmann N, Walther T, Doll N, Gradistanac T, Gommert JF, Lehmann S, Wittekind C, Mohr FW. Autopsy findings in patients on postcardiotomy extracorporeal membrane oxygenation (ECMO). Int J Artif Organs. 2006;29(12):1121–31.
31. Foley PJ, Morris RJ, Woo EY, Acker MA, Wang GJ, Fairman RM, Jackson BM. Limb ischemia during femoral cannulation for cardiopulmonary support. J Vasc Surg. 2010;52(4):850–3.
32. Bisdas T, Beutel G, Warnecke G, Hoeper MM, Kuehn C, Haverich A, Teebken OE. Vascular complications in patients undergoing femoral cannulation for extracorporeal membrane oxygenation support. Ann Thorac Surg. 2011;92(2):626–31.
33. Madershahian N, Nagib R, Wippermann J, Strauch J, Wahlers T. A simple technique of distal limb perfusion during prolonged femoro-femoral cannulation. J Card Surg. 2006;21(2):168–9.
34. Russo CF, Cannata A, Vitali E, Lanfranconi M. Prevention of limb ischemia and edema during peripheral venoarterial extracorporeal membrane oxygenation in adults. J Card Surg. 2009;24(2):185–7.
35. Yoshimura N, Ataka K, Nakagiri K, Azami T, Yoshida M, Yamashita C, Okada M. A simple technique for the prevention of lower limb ischemia during femoral veno-arterial cardiopulmonary support. J Cardiovasc Surg (Torino). 1996;37(6):557–9.
36. Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, Pirotte T, Karakitsos D, Ledonne J, Doniger S, Scoppettuolo G, Feller-Kopman D, Schummer W, Biffi R, Desruennes E, Melniker LA, Verghese ST. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med. 2012;38(7):1105–17.
37. Factora FN, Bustamante S, Spiotta A, Avitsian R. Intracranial hemorrhage surgery on patients on mechanical circulatory support: a case series. J Neurosurg Anesthesiol. 2011;23(1):30–4.
38. Friesenecker BE, Peer R, Rieder J, Lirk P, Knotzer H, Hasibeder WR, Mayr AJ, Dunser MW. Craniotomy during ECMO in a severely traumatized patient. Acta Neurochir (Wien). 2005;147(9):993–6; discussion 996.
39. Aiyagari RM, Rocchini AP, Remenapp RT, Graziano JN. Decompression of the left atrium during extracorporeal membrane oxygenation using a transseptal cannula incorporated into the circuit. Crit Care Med. 2006;34(10):2603–6.
40. Barbone A, Malvindi PG, Ferrara P, Tarelli G. Left ventricle unloading by percutaneous pigtail during extracorporeal membrane oxygenation. Interact Cardiovasc Thorac Surg. 2011;13(3):293–5.
41. Koeckert MS, Jorde UP, Naka Y, Moses JW, Takayama H. Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support. J Card Surg. 2011;26(6):666–8.
42. Seib PM, Faulkner SC, Erickson CC, Van Devanter SH, Harrell JE, Fasules JW, Frazier EA, Morrow WR. Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter Cardiovasc Interv. 1999;46(2):179–86.
43. Vlasselaers D, Desmet M, Desmet L, Meyns B, Dens J. Ventricular unloading with a miniature axial flow pump in combination with extracorporeal membrane oxygenation. Intensive Care Med. 2006;32(2):329–33.
44. Sheu JJ, Tsai TH, Lee FY, Fang HY, Sun CK, Leu S, Yang CH, Chen SM, Hang CL, Hsieh YK, Chen CJ, Wu CJ, Yip HK. Early extracorporeal membrane oxygenator-assisted primary percutaneous coronary intervention improved 30-day clinical outcomes in patients with ST-segment elevation myocardial infarction complicated with profound cardiogenic shock. Critical Care Med. 2010;38(9):1810–7.
45. Basra SS, Loyalka P, Kar B. Current status of percutaneous ventricular assist devices for cardiogenic shock. Curr Opinion Cardiol. 2011;26(6):548–54.
46. Aissaoui N, Luyt CE, Leprince P, Trouillet JL, Leger P, Pavie A, Diebold B, Chastre J, Combes A. Predictors of successful extracorporeal membrane oxygenation (ECMO) weaning after assistance for refractory cardiogenic shock. Intensive Care Med. 2011;37(11):1738–45.
47. Affronti A, di Bella I, Carino D, Ragni T. Levosimendan may improve weaning outcomesin venoarterial ECMO patients. Asaio J. 2013;59(6):554–7.
48. Combes A, Leprince P, Luyt CE, Bonnet N, Trouillet JL, Leger P, Pavie A, Chastre J. Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock. Critical Care Med. 2008;36(5):1404–11.
49. Thiele H, Sick P, Boudriot E, Diederich KW, Hambrecht R, Niebauer J, Schuler G. Randomized comparison of intra-aortic balloon support with a percutaneous left ventricular assist device in patients with revascularized acute myocardial infarction complicated by cardiogenic shock. Eur Heart J. 2005;26(13):1276–83.
50. Kim H, Lim SH, Hong J, Hong YS, Lee CJ, Jung JH, Yu S. Efficacy of veno-arterial extracorporeal membrane oxygenation in acute myocardial infarction with cardiogenic shock. Resuscitation. 2012;83(8):971–5.
51. Kar B, Gregoric ID, Basra SS, Idelchik GM, Loyalka P. The percutaneous ventricular assist device in severe refractory cardiogenic shock. J Am Coll Cardiol. 2011;57(6):688–96.
52. Kennedy JH. The role of assisted circulation in cardiac resuscitation. JAMA. 1966;197(8):615–8.
53. Avalli L, Maggioni E, Sangalli F, Favini G, Formica F, Fumagalli R. Percutaneous left-heart decompression during extracorporeal membrane oxygenation: an alternative to surgical and transeptal venting in adult patients. Asaio J. 2011;57(1):38–40.
54. Chen YS, Chao A, Yu HY, Ko WJ, Wu IH, Chen RJ, Huang SC, Lin FY, Wang SS. Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation. J Am Coll Cardiol. 2003;41(2):197–203.
55. Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, Chen WJ, Huang SC, Chi NH, Wang CH, Chen LC, Tsai PR, Wang SS, Hwang JJ, Lin FY. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008;372(9638):554–61.
56. Lin JW, Wang MJ, Yu HY, Wang CH, Chang WT, Jerng JS, Huang SC, Chou NK, Chi NH, Ko WJ, Wang YC, Wang SS, Hwang JJ, Lin FY, Chen YS. Comparing the survival between extracorporeal rescue and conventional resuscitation in adult in-hospital cardiac arrests: propensity analysis of three-year data. Resuscitation. 2010;81(7):796–803.
57. Maekawa K, Tanno K, Hase M, Mori K, Asai Y. Extracorporeal cardiopulmonary resuscitation for patients with out-of-hospital cardiac arrest of cardiac origin: a propensity-matched study and predictor analysis. Crit Care Med. 2013;41(5):1186–96.
58. Massetti M, Tasle M, Le Page O, Deredec R, Babatasi G, Buklas D, Thuaudet S, Charbonneau P, Hamon M, Grollier G, Gerard JL, Khayat A. Back from irreversibility: extracorporeal life support for prolonged cardiac arrest. Ann Thorac Surg. 2005;79(1):178–83; discussion 183–74.
59. Megarbane B, Deye N, Aout M, Malissin I, Resiere D, Haouache H, Brun P, Haik W, Leprince P, Vicaut E, Baud FJ. Usefulness of routine laboratory parameters in the decision to treat refractory cardiac arrest with extracorporeal life support. Resuscitation. 2011;82(9):1154–61.
60. Shin TG, Choi JH, Jo IJ, Sim MS, Song HG, Jeong YK, Song YB, Hahn JY, Choi SH, Gwon HC, Jeon ES, Sung K, Kim WS, Lee YT. Extracorporeal cardiopulmonary resuscitation in patients with inhospital cardiac arrest: a comparison with conventional cardiopulmonary resuscitation. Critical Care Med. 2011;39(1):1–7.
61. Megarbane B, Leprince P, Deye N, Resiere D, Guerrier G, Rettab S, Theodore J, Karyo S, Gandjbakhch I, Baud FJ. Emergency feasibility in medical intensive care unit of extracorporeal life support for refractory cardiac arrest. Intensive Care Med. 2007;33(5):758–64.
62. Cardarelli MG, Young AJ, Griffith B. Use of extracorporeal membrane oxygenation for adults in cardiac arrest (E-CPR): a meta-analysis of observational studies. Asaio J. 2009;55(6):581–6.
63. Steg PG, James SK, Atar D, Badano LP, Blomstrom-Lundqvist C, Borger MA, Di Mario C, Dickstein K, Ducrocq G, Fernandez-Aviles F, Gershlick AH, Giannuzzi P, Halvorsen S, Huber K, Juni P, Kastrati A, Knuuti J, Lenzen MJ, Mahaffey KW, Valgimigli M, van ’t Hof A, Widimsky P, Zahger D. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012;33(20):2569–619.
64. O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Tommaso CL, Tracy CM, Woo YJ, Zhao DX, Anderson JL, Jacobs AK, Halperin JL, Albert NM, Brindis RG, Creager MA, DeMets D, Guyton RA, Hochman JS, Kovacs RJ, Kushner FG, Ohman EM, Stevenson WG, Yancy CW. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American college of cardiology foundation/American heart association task force on practice guidelines. Circulation. 2013;127(4):e362–425.
65. Werdan K, Russ M, Buerke M, Delle-Karth G, Geppert A, Schondube FA. Cardiogenic shock due to myocardial infarction: diagnosis, monitoring and treatment: a German-Austrian S3 Guideline. Dtsch Arztebl Int. 2011;109(19):343–51.
66. Bermudez CA, Rocha RV, Toyoda Y, Zaldonis D, Sappington PL, Mulukutla S, Marroquin OC, Toma C, Bhama JK, Kormos RL. Extracorporeal membrane oxygenation for advanced refractory shock in acute and chronic cardiomyopathy. Ann Thorac Surg. 2011;92(6):2125–31.
67. Sakamoto S, Taniguchi N, Nakajima S, Takahashi A. Extracorporeal life support for cardiogenic shock or cardiac arrest due to acute coronary syndrome. Ann Thorac Surg. 2012;94(1):1–7.
68. Wu MY, Tseng YH, Chang YS, Tsai FC, Lin PJ. Using extracorporeal membrane oxygenation to rescue acute myocardial infarction with cardiopulmonary collapse: the impact of early coronary revascularization. Resuscitation. 2013;84(7):940–5.
69. Takayama H, Truby L, Koekort M, Uriel N, Colombo P, Mancini DM, Jorde UP, Naka Y. Clinical outcome of mechanical circulatory support for refractory cardiogenic shock in the current era. J Heart Lung Transplant. 2013;32(1):106–11.
70. Russo CF, Cannata A, Lanfranconi M, Bruschi G, Milazzo F, Paino R, Martinelli L. Veno-arterial extracorporeal membrane oxygenation using Levitronix centrifugal pump as bridge to decision for refractory cardiogenic shock. J Thorac Cardiovasc Surg. 2010;140(6):1416–21.