Abstract 17412: Current Experience and Limitations of Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest: A Single-Center Retrospective Study

• DOI: 10.1161/circ.138.suppl_1.17412
• Publication Date: 2021-07-02T20:19:45Z
• Authors: Aditi Singhvi; Nirav Patel; Jason A Gluck
• Keywords: Extracorporeal cardiopulmonary resuscitation; Etiology; Targeted temperature management; Extracorporeal circulation

Introduction: Extracorporeal cardiopulmonary resuscitation (ECPR) may be considered for select cardiac arrest patients whom the suspected etiology of is potentially reversible. In adults, survival to discharge with ECPR reportedly 22% 33%, better outcomes in-hospital arrests. Outcomes depend on multiple factors including, location arrest, etiology, duration and quality CPR, time initiation ECMO, post-arrest management. There no consensus regarding patient selection or management these patients. We report our preliminary experiences refractory arrest. Methods: Patients who underwent between January 2013 May 2018 were identified. The characteristics CPR duration, cannulation procedure, management, complications, neurologic retrospectively reviewed. Results: A total 24 events median age was 60 years. from collapse ECMO 35 (IQR 25.5-68) 68 45.5-144.5) min, respectively. Peripheral central access sites employed in 19 5 cases, Return spontaneous circulation achieved 21 (87.5%). PCI performed 4 pulmonary embolectomy 3 Median support 84 24-168) hours. Major complications occurred 17 (70.8%). Nine (37.5%) successfully weaned 7 (29.2%) survived hospital discharge. All survivors had a favorable outcome. Conclusions: as part comprehensive multi-faceted approach improve outcomes. noted an improvement over time. This could attributed improved criteria well clinical development help identify most likely benefit use ECPR. would have significant resource implications hospitals programs.