Feasibility of Venovenous Extracorporeal Membrane Oxygenation Without Systemic Anticoagulation.

ABSTRACT:

Background

Venovenous extracorporeal membrane oxygenation (ECMO) is increasingly being used for acute respiratory distress syndrome and as a bridge to lung transplantation. After initiation of venovenous ECMO, systemic anticoagulation therapy is traditionally administered and can cause bleeding diathesis. Here, we investigated whether venovenous ECMO can be administered without continuous systemic anticoagulation administration for patients with acute respiratory distress syndrome.

Methods

This is a retrospective review of an institutional ECMO database. We included consecutive patients from January 2015 through February 2019. Overall, 38 patients received low levels of continuous systemic anticoagulation (AC+) whereas the subsequent 36 patients received standard venous thro

SUBMITTER: Kurihara C 

PROVIDER: S-EPMC7486253 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature