Extracorporeal Life Support for Post-Cardiotomy Acute Right Ventricular Failure: a Retrospective Observational Multicenter Study - PubMed
6 hours ago
- #ECLS
- #right ventricular failure
- #post-cardiotomy
- Study evaluates outcomes of extracorporeal life support (ECLS) for post-cardiotomy acute right ventricular failure (aRVF).
- Multicenter, international, retrospective study from 2000 to 2020 with 2010 patients (240 aRVF, 1770 other indications).
- aRVF group had higher pre-operative right-sided cardiac dysfunction and more complex surgeries (e.g., tricuspid valve, aortic root).
- aRVF patients required longer ECLS support (135 vs. 116 hours) and ICU stay (15 vs. 13 days).
- Higher complications in aRVF group (non-surgical bleeding, persistent right heart failure).
- In-hospital and long-term survival rates were comparable between aRVF and other indications (59% vs. 61%).