1. Short-term and long-term outcomes of the elderly patients treated with ECMO following cardiac surgery R. Samalavicius1, S. Rackauskaite3 , I. Norkiene3, I. Misiuriene1 , K. Urbonas1, D. Grazulyte1, V. Janusauskas2, K. Laurusonis4, K. Rucinskas2, P. Serpytis2 1) Vilnius University Hospital Santariskiu Clinics, Center of Anaesthesia, Intensive Care and Pain Management, Vilnius, Lithuania 2) Vilnius University Hospital Santariskiu Clinics, Department of Cardiovascular disease, Vilnius University, Vilnius, Lithuania 3) Vilnius University Hospital Santariskiu Clinics, Center of Anaesthesia, Intensive Care and Pain Management, Vilnius University, Vilnius, Lithuania 4) Lithuanian University of Health Sciences, Kaunas, Lithuania
BACKGROUND
An increasing number of elderly patients are being accepted for cardiac surgery.
The age limit for the use of extracorporeal membrane oxygenation remains controversial.
The aim of our study was to evaluate the outcomes of the elderly patients who needed ECMO treatment following cardiac surgery in our institution.
METHODS
Single center retrospective study.
69 consecutive adult patients (22 pts ≥ 70 years and 47 pts < 70 years) treated with ECMO for cardiac failure following surgery.
January December 2014.
Indications for ECMO: inability to wean from cardiopulmonary bypass or postoperative cardiac failure refractory to medical treatment.
Short-term and long-term outcomes were assessed.
RESULTS
Demographic data and comorbidities
Surgery performed
ECMO duration: elderly vs younger pts
ECMO type
Survival after discharge (patients treated with ECMO),
by age group
(Kaplan-Meier Survival Estimates)
Relationship of ECMO duration and long term survival
(Kaplan-Meier Survival Estimates)
Outcomes of patients treated with ECMO for postcardiotomy heart failure in VUHSK
CONCLUSIONS
ECMO can be effectively used in the elderly postcardiotomy patients with acceptable in-hospital mortality
Long-term outcomes of the elderly patients treated with ECMO for postcardiotomy failure are similar to the younger patients group.
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