Disease Oriented ECMO Results;  Specific Considerations for Different Pathologies

Ergin Arslanoğlu; Kenan Abdurrahman Kara; Fatih Yiğit; Babürhan Özbek; Yasemin Yavuz; Fatma Ukil Işıldak; Eylem Tunçer; Nihat Çine; Hakan Ceyran

doi:10.51645/khj.2021.m103

Ergin Arslanoğlu^¹, Kenan Abdurrahman Kara^¹, Fatih Yiğit^¹, Babürhan Özbek^¹, Yasemin Yavuz^², Fatma Ukil Işıldak^², Eylem Tunçer^¹, Nihat Çine^¹, Hakan Ceyran^¹

¹Department of Pediatric Cardiovascular Surgery, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
²Department of Anaesthesiology and Reanimation, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Turkey

Keywords: Cardiac morphology; pediatric ECMO; RACHS score

Abstract

Introduction: Extracorporeal membrane oxygenation (ECMO), whose use has increased with technological developments in pediatric heart surgery, is a life-saving treatment modality that is used in patients with cardiac or pulmonary insufficiency who are unresponsive to medical treatment. We investigated the effect of operation technique and cardiac morphology of patients undergoing pediatric cardiac surgery in our clinic on ECMO prognosis in this retrospective cohort study.

Patients and Methods: Seventy patients in need of ECMO after pediatric heart surgery were enrolled be- tween May 2010 and April 2020 in our clinic. 44.3% (n= 31) of patients were female and 55.7% (n= 39) were male. Their ages ranged from 0 to 575 months, with a mean of 32.59 ± 147.26. RACHS-1 was 25%, RACHS-2 was 23.07%, RACHS-3 was 33.33%, RACHS-4 was 35.71%, RACHS-5 was 100%, and RACHS-6 was 50% according to the ECMO result. No statistically significant difference was found between mortality and RACHS scoring.

Results: As a consequence, scoring systems used in the evaluation and measurement of ECMO use in the pediatric age group can be deceptive.

Conclusion: We attribute this to the fact that ECMO is a complex and complicated treatment that affects all systems in general and has a lot of mechanical and physiological complications. We think that the combination of scoring systems used in these patients with other scoring methods will give more accurate results than using them alone.

Cite this article as: Arslanoğlu E, Kara KA, Yiğit F, Özbek B, Yavuz Y, Ukil Işıldak F, et al. Disease oriented ECMO results; specific considerations for different pathologies. Koşuyolu Heart J 2021;24(2):S30-S39.

Ethics Committee Approval

The study protocol was approved by the local ethics committee. The study was conducted in accordance with the principles of the Declaration of Helsinki (2021/4/455).

Informed Consent

Informed consent was obtained.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - EA; Analysis/Interpretation - YY; Data Collection - KK; Writing - FI; Critical Revision - ET; Final Approval - EA, HC; Statistical Analysis - BÖ; Obtained funding - NÇ, HC; Overall Responsibility - HC.

Conflict of Interest

The authors have no conflicts of interest to declare

Financial Disclosure

The authors declared that this study has received no financial support.

BibTex	@article{ kosuyolu_heart_j1808, doi = {10.51645/khj.2021.m103}, author = {Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran}, title = {Disease Oriented ECMO Results; Specific Considerations for Different Pathologies}, journal = {Koşuyolu Heart J}, year = {2021}, volume = {24}, number = {Supplement 1}, pages = {30-39}, publisher = {Kartal Koşuyolu High Specialization Training and Research Hospital} }
RIS	`TY - JOUR AU - Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran PY - 2021 TI - Disease Oriented ECMO Results; Specific Considerations for Different Pathologies SP - 30 EP - 39 JO - Koşuyolu Heart Journal J2 - Koşuyolu Heart J VL - 24 IS - Supplement 1 PB - DO - 10.51645/khj.2021.m103 ER -`
EndNote	`%0 Journal Article %A Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran %T Disease Oriented ECMO Results; Specific Considerations for Different Pathologies %J Koşuyolu Heart Journal %D 2021 %V 24 %N Supplement 1 %P 30-39 %R 10.51645/khj.2021.m103`
APA	Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran (2021). Disease Oriented ECMO Results; Specific Considerations for Different Pathologies. Koşuyolu Heart Journal, 24(Supplement 1), 30-39. doi:10.51645/khj.2021.m103
MLA	Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran. "Disease Oriented ECMO Results; Specific Considerations for Different Pathologies" Koşuyolu Heart Journal, vol. 24, no. Supplement 1, 2021, pp. 30-39. doi:10.51645/khj.2021.m103.
Chicago	Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran. "Disease Oriented ECMO Results; Specific Considerations for Different Pathologies" Koşuyolu Heart Journal 24, no. Supplement 1 (2021): 30-39. https://doi.org/10.51645/khj.2021.m103.
AMA	Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran. Disease Oriented ECMO Results; Specific Considerations for Different Pathologies. Koşuyolu Heart J. 2021; 24(Supplement 1): 30-39. doi:10.51645/khj.2021.m103.
Vancouver	Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Babürhan Özbek, Yasemin Yavuz, Fatma Ukil Işıldak, Eylem Tunçer, Nihat Çine, Hakan Ceyran. Disease Oriented ECMO Results; Specific Considerations for Different Pathologies. Koşuyolu Heart J. 2021; 24(Supplement 1): 30-39. doi:10.51645/khj.2021.m103

Disease Oriented ECMO Results; Specific Considerations for Different Pathologies

Abstract

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