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Extracorporeal Membrane Oxygenation for Advanced Refractory Shock in Acute and Chronic Cardiomyopathy  Christian A. Bermudez, MD, Rodolfo V. Rocha, MD,

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Presentation on theme: "Extracorporeal Membrane Oxygenation for Advanced Refractory Shock in Acute and Chronic Cardiomyopathy  Christian A. Bermudez, MD, Rodolfo V. Rocha, MD,"— Presentation transcript:

1 Extracorporeal Membrane Oxygenation for Advanced Refractory Shock in Acute and Chronic Cardiomyopathy  Christian A. Bermudez, MD, Rodolfo V. Rocha, MD, Yoshiya Toyoda, MD, PhD, Diana Zaldonis, MPH, BSN, Penny L. Sappington, MD, Suresh Mulukutla, MD, Oscar C. Marroquin, MD, Catalin Toma, MD, Jay K. Bhama, MD, Robert L. Kormos, MD  The Annals of Thoracic Surgery  Volume 92, Issue 6, Pages (December 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Extracorporeal membrane oxygenator (ECMO) for cardiogenic shock inclusion criteria at UPMC. *Patients >70 years old presenting with acute myocardial infarction and large territories at risk, with adequate targets for revascularization would be considered in individual cases with the absence of neurologic involvement after arrest. **Absence of significant anisocoria and signs of decerebration or focality. (CPR = cardiopulmonary resuscitation; Cr = creatinine; ECMO = extracorporeal membrane oxygenator; ESRD = end-stage renal disease; PVD = peripheral vascular disease.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Kaplan-Meier survival curve of all patients supported on ECMO for CS* (*considered all subsequent management strategy utilized, including revascularization, VAD, or heart transplantation). (— = CCM-CS; — = AMI-CS) AMI = acute myocardial infarction; CCM = chronic cardiomyopathy; CS = cardiogenic shock; Cum = cumulative; ECMO = extracorporeal membrane oxygenation.). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Kaplan-Meier survival of patients undergoing revascularization after ECMO weaning versus patients undergoing ECMO and subsequent VAD. (--- = PCI-CABG; — = VAD; CABG = coronary artery bypass grafting; ECMO = extracorporeal membrane oxygenation; PCI = percutaneous intervention; VAD = ventricular assist device.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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