Central, peripheral ECMO or CPB? Comparsion between circulatory support methods used during lung transplantation

• DOI: 10.1186/s13019-021-01719-0
• Publication Date: 2021-11-27T09:02:41Z
• Authors: Nikola Ruszel; Kajetan Kiełbowski; Maria Piotrowska; Michał Kubisa; Tomasz Grodzki; Janusz Wójcik; Bartosz Kubisa
• Keywords: Extracorporeal circulation; Cardiothoracic surgery; Membrane oxygenator; Extracorporeal; Oxygenator

Chronic obstructive pulmonary disease, cystic fibrosis and usual interstitial pneumonia are three most common indications for lung transplantation (LuTx) in Poland. As a result of irreversible destruction parenchyma extended respiratory insufficiency that appear afterwards, it is crucial to estimate the reserve gas exchange each before during surgery. Altering conditions require adaptation circulatory system as well. In some cases use extracorporeal life support appears be necessary undergo successfully. Cardiopulmonary bypass (CPB) or membrane oxygenation (ECMO) used operation allow replace function heart lung, but they also related complications form acute kidney failure, bleeding, arrhythmias thromboembolic complications.We reviewed 77 LuTx from 2009 2020 performed at Department Thoracic Surgery Transplantation. 40/77 (51%) patients required intraoperative assistance: 8 CBP 32 ECMO. ECMO group 14/32 (44%) had peripheral cannulation 18/32 (56%) central one. We have calculated survival rates postoperative after transplantations. Cumulative Kaplan-Meier curves were calculated. Differences between groups evaluated by Chi- square analysis discontinuous variables t-test continuous variables.The oxygenator was associated with increased comparing without external (30-days, 1-year, 3-years, 5-years rates: 78%, 66%, 66% vs 83%, 65%, 59%, 44% respectively). Furthermore, enhanced cardiopulmonary well (50%, 41%, 33%; 75%, 50%, 38% Acute injury occurred statistically more often case underwent devices (p = 0.005, p 0.02 Frequency other comparable among groups.The should favorized over bypass. CPB no longer LuTx. Trial registration Not applicable.