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Boston - American Association for Thoracic Surgery

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AMERICAN ASSOCIATION FOR THORACIC SURGERY39. Early and Late Outcome of 517 Consecutive Adult Patients Treatedwith Extracorporeal Membrane Oxygenation <strong>for</strong> RefractoryPostcardiotomy Cardiogenic ShockArdawan J. Rastan, Andreas Dege, Matthias Mohr, Nicolas Doll, Sven Lehmann,Volkmar Falk, Friedrich W. Mohr *Heart <strong>Surgery</strong>, Heart Center Leipzig, Leipzig, GermanyInvited Discussant: R. Duane Davis, Jr.OBJECTIVE: PCS occurs in 1–2% of adult cardiac surgery patients. Hospital andlong-term results of 517 consecutive patients receiving perioperative ECMOimplantation were analyzed regarding preoperative and procedural risk factors thateffect outcomes.TUESDAYAfternoonOverall cumulative survival after ECMO implantationin adults PCSMETHODS: Between 05/96 and 06/08 517 of 40.538 pts (1.3%) undergoing cardiacsurgery (37.1% elective, 24.4% urgent, 38.5 emergency) received perioperativeECMO support. Data were prospectively recorded. Procedures were isolatedCABG (32.4%), CABG + valve surgery (19.3%), valve surgery (38.1%), thoracicorgan transplantation (6.4%) and others (3.8%). Fifty-four preoperative, 26 proceduraland 37 postoperative risk factors were evaluated by uni- und multivariatelogistic regression analyses to identify risk factors <strong>for</strong> early and late mortality.Cumulative survival was estimated by Kaplan-Meier methods. Mean follow-upwas 2.9 y (0.0–11.4 y).* AATS Member167

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