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Extracorporeal Life Support in Adult Patients with Hematologic Malignancies and Acute Circulatory and/or Respiratory Failure

Abstract:
Background The primary goal of this study was to characterize the clinical outcomes of adult patients with hematologic malignancies (HM) who were treated with extracorporeal membrane oxygenation (ECMO) support when conventional treatments failed. Methods In this retrospective, observational study at a tertiary medical center, we reviewed the clinical course of 23 consecutive patients with HM requiring ECMO who were admitted to the intensive care unit at Asan Medical Center from March 2010 to April 2015. Results A total of 23 patients (8 female; median age, 44 years; range, 29–51 years) with HM and severe acute circulatory and/or respiratory failure received ECMO therapy during the study period. Fourteen patients received veno-arterial ECMO, while 9 patients received veno-venous ECMO. The median ECMO duration was 104.7 hours (range, 37.1–221 hours). Nine patients were successfully weaned from ECMO. The in-hospital mortality rate was 91.1% (21 of 23). There were complications in 3 patients (cannulation site bleeding, limb ischemia, and gastrointestinal bleeding). Conclusion ECMO is a useful treatment for patients with circulatory and/or pulmonary failure. However, in patients with HM, the outcomes of ECMO treatment results were very poor, so it is advisable to carefully decide whether to apply ECMO to these patients.
Author Listing: Sungbin Cho;Won Chul Cho;Ju Yong Lim;Pil Je Kang
Volume: 52
Pages: 25 - 31
DOI: 10.5090/kjtcs.2019.52.1.25
Language: English
Journal: The Korean Journal of Thoracic and Cardiovascular Surgery

Korean Journal of Thoracic and Cardiovascular Surgery

影响因子:0.0
是否综述期刊:否
是否OA:是
是否预警:不在预警名单内
发行时间:-
ISSN:2233-601X
发刊频率:-
收录数据库:Scopus收录/DOAJ开放期刊
出版国家/地区:Korea, Republic of
出版社:Korean Society for Thoracic and Cardiovascular Surgery

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自引率 0.0%
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平均审稿周期 36 Weeks
版面费 -
偏重研究方向 Medicine-Surgery
期刊官网 http://www.kjtcvs.org/main.html
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2024年02月发布的2024版 不在预警名单中
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2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

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WOS期刊SCI分区
(2021-2022年最新版)

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