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Vascular complications after peripheral veno-arterial extracorporeal life support cannulation in cardiogenic shock.


ABSTRACT:

Background

Extra Corporeal Life Support (ECLS) is an evolving therapy in therapy-resistant cardiogenic shock (CS). Vascular cannulation in emergency situations can be accomplished through puncture of the femoral vessels by specialised teams. Since lower limb ischemia constitutes one of the major complications following cannulation, a distal perfusion cannula (DPC) has emerged as standard of care. We here aimed to analyse the impact of the DPC on limb perfusion and 6-month survival rate.

Methods

In a retrospective study from January 2012 to December 2018, 98 patients with cardiogenic shock and peripheral (v-a) ECLS implantation with documented limb perfusion status were identified and analysed. Demographic data, laboratory parameters, cause of CS, comorbidities, limb perfusio

SUBMITTER: Ilias C 

PROVIDER: S-EPMC10236458 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature