[The application of extracorporeal membrane oxygenation for surgical treatment of coronary artery disease].
OBJECTIVE
To summarize the results and experiences on extracorporeal membrane oxygenation (ECMO) for post-cardiac surgery of coronary artery disease.


METHODS
From June 2004 to November 2006, sixteen patients with the mean age of (58 +/- 11) years old undergoing cardiac surgical procedures were placed on ECMO using a heparin-bonded circuit. Fourteen patients were male and two patients were female. Thirteen patients underwent on pump coronary artery bypass surgery (CABG) and three patients underwent off-pump coronary artery bypass grafting. The duration of ECMO support, stay of intensive care unit (ICU stay), complications and turnovers were recorded.


RESULTS
The mean duration of ECMO support was 51 hours, and the mean duration of ICU stay was 5 days. Thirteen patients (81.3%) were successfully weaned form ECMO, ten patients (62.5%) were discharged from hospital. The main complications were bleeding, infection, renal failure and ischemia of the lower limbs with the incidence of 18.8%, 37.5%, 25% and 18.8% respectively.


CONCLUSIONS
ECMO is an acceptable technique for shortterm treatment of refractory low cardiac output after cardiac surgery of coronary artery disease.
Yan
Xiao-Lei
XL
Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Li
Qun
Q
Yu
Yang
Y
Hou
Xiao-Tong
XT
Yang
Yong
Y
Wan
Jiu-He
JH
Jia
Ming
M
Meng
Xu
X
Jia
Shi-Jie
SJ
D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000601:surgery / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D016896:Treatment Outcome