Cited 0 times in Scipus Cited Count

Transition to routine use of venoarterial extracorporeal oxygenation during lung transplantation could improve early outcomes

DC Field Value Language
dc.contributor.authorYu, WS-
dc.contributor.authorPaik, HC-
dc.contributor.authorHaam, SJ-
dc.contributor.authorLee, CY-
dc.contributor.authorNam, KS-
dc.contributor.authorJung, HS-
dc.contributor.authorDo, YW-
dc.contributor.authorShu, JW-
dc.contributor.authorLee, JG-
dc.date.accessioned2018-05-04T00:26:58Z-
dc.date.available2018-05-04T00:26:58Z-
dc.date.issued2016-
dc.identifier.issn2072-1439-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/15206-
dc.description.abstractBACKGROUND: The study objective was to compare the outcomes of intraoperative routine use of venoarterial (VA) extracorporeal membrane oxygenation (ECMO) versus selective use of cardiopulmonary bypass (CPB). METHODS: Between January 2010 and February 2013, 41 lung transplantations (LTx) were performed, and CPB was used as a primary cardiopulmonary support modality by selective basis (group A). Between March 2013 and December 2014, 41 LTx were performed, and ECMO was used routinely (group B). The two groups were compared retrospectively. RESULTS: The operative time was significantly longer in group A (group A, 458 min: group B, 420 min: P=0.041). Postoperatively, patients in group B had less fresh frozen plasma (FFP) transfusion (P=0.030). Complications were not different between the two groups. The 30- and 90-day survival rates were better in group B (30-day survival: group A, 75.6%: group B, 95.1%, P=0.012: 90-day survival: group A, 68.3%: group B, 87.8%, P=0.033). The 1-year survival showed better trends in group B, but it was not significant. Forced vital capacity (FVC) at 1, 3, and 6 months after LTx was better in group B than in group A (1 month: group A, 43.8%: group B, 52.9%, P=0.043: 3 months: group A, 45.5%: group B, 59.0%, P=0.005: 6 months: group A, 51.5%: group B, 65.2%, P=0.020). Forced expiratory volume in 1 second (FEV1) at 3 months after LTx was better in patients in group B than that in patient in group A (group A, 53.3%: group B, 67.5%, P=0.017). CONCLUSIONS: Routine use of ECMO during LTx could improve early outcome and postoperative lung function without increased extracorporeal-related complication such as vascular and neurologic complications.-
dc.language.isoen-
dc.titleTransition to routine use of venoarterial extracorporeal oxygenation during lung transplantation could improve early outcomes-
dc.typeArticle-
dc.identifier.pmid27499961-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958818/-
dc.subject.keywordLung transplantation (LTx)-
dc.subject.keywordExtracorporeal life support (ECLS)-
dc.subject.keywordVenoarterial (VA)-
dc.contributor.affiliatedAuthor함, 석진-
dc.type.localJournal Papers-
dc.identifier.doi10.21037/jtd.2016.06.18-
dc.citation.titleJournal of thoracic disease-
dc.citation.volume8-
dc.citation.number7-
dc.citation.date2016-
dc.citation.startPage1712-
dc.citation.endPage1720-
dc.identifier.bibliographicCitationJournal of thoracic disease, 8(7). : 1712-1720, 2016-
dc.identifier.eissn2077-6624-
dc.relation.journalidJ020721439-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Thoracic & Cardiovascular Surgery
Files in This Item:
27499961.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse