prikaz prve stranice dokumenta Results of extracorporeal life support implementation in routine clinical practice: single center experience
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Scientific paper - Original scientific paper
Results of extracorporeal life support implementation in routine clinical practice: single center experience
Croatian Medical Journal, 55 (2014), 6; 600-608. https://doi.org/10.3325/cmj.2014.55.600
Biočina, Bojan; Petričević, Mate; Belina, Dražen; Gašparović, Hrvoje; Svetina, Lucija; Konosić, Sanja; White, Alexandra; Ivančan, Višnja; Kopjar, Tomislav; Miličić, Davor

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Biočina, B., Petričević, M., Belina, D., Gašparović, H., Svetina, L., Konosić, S. ... Miličić, D. (2014). Results of extracorporeal life support implementation in routine clinical practice: single center experience. Croatian Medical Journal, 55. (6), 600-608. doi: 10.3325/cmj.2014.55.600

Biočina, Bojan, et al. "Results of extracorporeal life support implementation in routine clinical practice: single center experience." Croatian Medical Journal, vol. 55, no. 6, 2014, pp. 600-608. https://doi.org/10.3325/cmj.2014.55.600

Biočina, Bojan, Mate Petričević, Dražen Belina, Hrvoje Gašparović, Lucija Svetina, Sanja Konosić, Alexandra White, Višnja Ivančan, Tomislav Kopjar and Davor Miličić. "Results of extracorporeal life support implementation in routine clinical practice: single center experience." Croatian Medical Journal 55, no. 6 (2014): 600-608. https://doi.org/10.3325/cmj.2014.55.600

Biočina, B., et al. (2014) 'Results of extracorporeal life support implementation in routine clinical practice: single center experience', Croatian Medical Journal, 55(6), pp. 600-608. doi: 10.3325/cmj.2014.55.600

Biočina B, Petričević M, Belina D, Gašparović H, Svetina L, Konosić S, and sur.. Results of extracorporeal life support implementation in routine clinical practice: single center experience. Croatian Medical Journal [Internet]. 2014 December [cited 2024 May 01];55(6):600-608. doi: 10.3325/cmj.2014.55.600

B. Biočina, et al., "Results of extracorporeal life support implementation in routine clinical practice: single center experience", Croatian Medical Journal, vol. 55, no. 6, pp. 600-608, December 2014. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:683556. [Accessed: 01 May 2024]

Metadata
Title (english)Results of extracorporeal life support implementation in routine clinical practice: single center experience
AuthorBojan Biočina
AuthorMate Petričević
AuthorDražen Belina
AuthorHrvoje Gašparović
AuthorLucija Svetina
AuthorSanja Konosić
AuthorAlexandra White
AuthorVišnja Ivančan
AuthorTomislav Kopjar
AuthorDavor Miličić
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
AIM: To describe our experience in the clinical application of extracorporeal life support (ECLS) and analyze whether ECLS leads to acceptable clinical outcomes in patients with cardiac failure. ----- METHODS: Data from clinical database of University Hospital Center Zagreb, Croatia, on 75 patients undergoing ECLS support from 2009 to 2014 due to cardiac failure were retrospectively analyzed. Outcomes were defined as procedural and clinical outcomes. ECLS as a primary procedure and ECLS as a postcardiotomy procedure due to inability to wean from cardiopulmonary bypass were analyzed. ----- RESULTS: ECLS was used in 75 adult patients, and in 24 (32%) of those procedural success was noted. ECLS was implemented as a primary procedure in 36 patients and as a postcardiotomy procedure in 39 patients. Nine out of 39 (23.08%) patients had postcardiotomy ECLS after heart transplantation. Bleeding complications occurred in 30 (40%) patients, both in primary (11/36 patients) and postcardiotomy group (19/39 patients). ECLS was established by peripheral approach in 46 patients and by central cannulation in 27 patients. In 2 patients, combined cannulation was performed, with an inflow cannula placed into the right atrium and an outflow cannula placed into the femoral artery. Eleven patients treated with peripheral approach had ischemic complications. ----- CONCLUSION: ECLS is a useful tool in the treatment of patients with refractory cardiac failure and its results are encouraging in patients who otherwise have an unfavorable prognosis. Patient outcomes may be further improved by technological advances, more clinical experience in application of the technique, careful patient selection, and multidisciplinary approach in patient management.
Abstract (croatian)
Rezultati primjene izvantjelesnog održavanja na životu u rutinskoj kliničkoj praksi: iskustvo jednog centra ----- Cilj: Opisati iskustvo u kliničkoj primjeni izvantjelesnog održavanja na životu i analizirati dovodi li ono do prihvatljivih kliničkih ishoda kod pacijenata sa zatajenjem srca. ----- Postupci: Retrospektivno smo analizirali podatke iz kliničke baze podataka Kliničko-bolničkog centra Zagreb o 75 pacijenata kod kojih je primijenjeno izvantjelesno održavanje života od 2009. do 2014. zbog zatajenja srca. Promatrali smo proceduralne i kliničke ishode, održavanje kao primarni postupak te kao postupak proveden nakon kardiotomije u slučajevima kada se pacijenti nisu mogu odviknuti od kardiopulmonalne premosnice. ----- Rezultati: Izvantjelesno održavanje života primijenjeno je kod 75 odraslih pacijenata, a kod 24 pacijenta (32%) zabilježen je proceduralni uspjeh. Održavanje je primijenjeno kao primarni postupak kod 36 pacijenata, a kao postupak nakon kardiotomije kod 39 pacijenata. Kod 9 od 39 pacijenata (23,08%) održavanje nakon kardiotomije počelo je nakon presađivanja srca. Komplikacije u vidu krvarenja zabilježene su kod 30 (40%) pacijenata, kako u primarnoj (11/36 pacijenata) tako i u skupini nakon kardiotomije (19/39 pacijenata). Uređaj za održavanje uveden je kod 46 pacijenata perifernim pristupom, kod 27 pacijenata centralnom kanilacijom, a kod 2 pacijenta kombiniranom kanilacijom. Pri kombiniranoj kanilaciji, ulazna kanila smještena je u desnu pretklijetku, a izlazna u femoralnu arteriju. Jedanaest pacijenata podvrgnutih perifernom pristupu imalo je ishemijske komplikacije. ----- Zaključak: Izvantjelesno održavanje na životu koristan je način liječenja refraktornog zatajenja srca i daje ohrabrujuće rezultate kod pacijenata koji bi inače imali nepovoljnu prognozu. Ishodi pacijenata mogu se poboljšati tehnološkim napretkom, duljim iskustvom u primjeni tehnologije, pažljivim odabirom pacijenata i multidisciplinarnim pristupom liječenju.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 55, no. 6, pp. 600-608
p-ISSN0353-9504
DOIhttps://doi.org/10.3325/cmj.2014.55.600
URN:NBNurn:nbn:hr:105:683556
Publication2014-12
Document URLhttps://doi.org/10.3325/cmj.2014.55.600
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 08:25:29