title: Implementing an Innovative Cardiac Assist System in a Nonuniversity Hospital--Feasibility, Complications, and First Results.
abstract: To evaluate the feasibility of implementing a cardiac assist system in a nonuniversity hospital we analyzed 18 consecutive patients treated with venoarterial membrane oxygenation. The system was used electively in 5/18 (27.8%) patients during high-risk interventions. Thirteen patients (72.2%) were treated in emergency situations. The extracorporal system could be initiated successfully in all patients. Periprocedural complications were hemolysis in 3/18 (16.7%), disseminated intravascular coagulation in 2/18 (11.1%), cerebral ischemia in 1/18 (5.6%), and local infection in 2/18 (11.1%) patients. None of these led to a discontinuation of the therapy. All electively treated patients were successfully weaned from the extracorporeal system. In 9/13 (69.2%) emergency patients the system was removed successfully. The 60-day survival rate of the emergency patients was 53.8% (7/13). Our experience confirms that an innovative extracorporeal circulatory support system can be implemented in a nonuniversity hospital at a tolerable risk and a low complication and high procedural success rate.
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Jochen
authors: J
authors: Graf
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Wolfram
authors: W
authors: Radunz
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Isabell
authors: I
authors: Häger
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Eva-Marie
authors: EM
authors: Fehr
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Dominik
authors: D
authors: Scharpf
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Andreas
authors: A
authors: Kuhn
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Jens-Martin
authors: JM
authors: Maier
authors: SLK-Kliniken Heilbronn GmbH, Klinikum Am Gesundbrunnen, Medical Department I, Heilbronn, Germany.
authors: Marcus
authors: M
authors: Hennersdorf
mesh_terms: D000368:Aged; D004630:Emergencies; D004867:Equipment Design; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006439:Hemodynamics; D006461:Hemolysis; D006761:Hospitals; D006801:Humans; D008297:Male; D010107:Oxygenators, Membrane / Q000009:adverse effects; D012770:Shock, Cardiogenic / Q000150:complications / Q000601:surgery*; D015996:Survival Rate
keywords: Cardiac assist system; Cardiogenic shock; Cardiopulmonary support; Complications; Extracorporeal membrane oxygenation