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Outcome of veno-venous extracorporeal membrane oxygenation use in acute respiratory distress syndrome after cardiac surgery with cardiopulmonary bypass

DC Field Value Language
dc.contributor.author김도정-
dc.contributor.author우원기-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author장병철-
dc.contributor.author주현철-
dc.contributor.author김봉준-
dc.contributor.author김영삼-
dc.contributor.author김효현-
dc.contributor.author박한기-
dc.contributor.author서지원-
dc.contributor.author송승환-
dc.contributor.author송주한-
dc.contributor.author신유림-
dc.date.accessioned2017-10-26T07:41:25Z-
dc.date.available2017-10-26T07:41:25Z-
dc.date.issued2016-
dc.identifier.issn2072-1439-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152387-
dc.description.abstractBACKGROUND: Cardiac surgery with cardiopulmonary bypass (CPB) is a known risk factor for acute respiratory distress syndrome (ARDS). We aimed to analyze the treatment outcome in patients who required veno-venous extracorporeal membrane oxygenation (VV-ECMO) for postcardiotomy ARDS despite other rescue modalities. METHODS: We retrospectively reviewed the outcomes in 13 patients (mean age, 54.7±5.9 years) who received VV-ECMO support for refractory ARDS after cardiac surgery between March 2013 and February 2016 at Severance Hospital, Yonsei University (Seoul, Korea). RESULTS: At the start of VV-ECMO, the average lung injury score was 3.0±0.2, and the Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score was -4±1.1. Although 7 patients initiated VV-ECMO support within 24 h from operation, the remaining 6 started at a median of 8.5 days (range, 5-16 days). Nine (69.3%) patients were successfully weaned from VV-ECMO. After a median follow-up duration of 14.5 months (range, 1.0-33.0 months) for survivors, the 1-year overall survival was 58.6%±14.4%. The differences in the overall survival from VV-ECMO according to the RESP score risk classes were borderline significant (100% in class III, 50%±25% in class IV, and 20%±17.9% in class V; P=0.088). CONCLUSIONS: VV-ECMO support can be a feasible rescue strategy for adult patients who develop refractory ARDS after a cardiac surgery. Additionally, the RESP score seems a valuable prognostic tool for post-ECMO survival outcome in this patient population as well.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherPioneer Bioscience Pub. Co.-
dc.relation.isPartOfJOURNAL OF THORACIC DISEASE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleOutcome of veno-venous extracorporeal membrane oxygenation use in acute respiratory distress syndrome after cardiac surgery with cardiopulmonary bypass-
dc.typeArticle-
dc.publisher.locationChina-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery-
dc.contributor.googleauthorJoo Han Song-
dc.contributor.googleauthorWon Ki Woo-
dc.contributor.googleauthorSeung Hwan Song-
dc.contributor.googleauthorHyo Hyun Kim-
dc.contributor.googleauthorBong Joon Kim-
dc.contributor.googleauthorHa Eun Kim-
dc.contributor.googleauthorDo Jung Kim-
dc.contributor.googleauthorJee Won Suh-
dc.contributor.googleauthorYu Rim Shin-
dc.contributor.googleauthorHan Ki Park-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorHyun Chel Joo-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorByung Chul Chang-
dc.contributor.googleauthorKyung Jong Yoo-
dc.contributor.googleauthorYoung Sam Kim-
dc.contributor.googleauthorYoung Nam Youn-
dc.identifier.doi10.21037/jtd.2016.05.86-
dc.contributor.localIdA04980-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02807-
dc.contributor.localIdA02935-
dc.contributor.localIdA03430-
dc.contributor.localIdA03960-
dc.contributor.localIdA04897-
dc.contributor.localIdA00707-
dc.contributor.localIdA04741-
dc.contributor.localIdA01729-
dc.contributor.localIdA04956-
dc.contributor.localIdA04963-
dc.contributor.localIdA02062-
dc.contributor.localIdA02128-
dc.contributor.localIdA04519-
dc.relation.journalcodeJ01907-
dc.identifier.eissn2077-6624-
dc.identifier.pmid27499972-
dc.subject.keywordVeno-venous extracorporeal membrane oxygenation (VV-ECMO)-
dc.subject.keywordacute respiratory distress syndrome (ARDS)-
dc.subject.keywordcardiac surgery-
dc.contributor.alternativeNameKim, Do Jung-
dc.contributor.alternativeNameWoo, Won Ki-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Sak-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameJoo, Hyun Chel-
dc.contributor.alternativeNameKim, Bong Joon-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.alternativeNameKim, Hyohyun-
dc.contributor.alternativeNamePark, Han Ki-
dc.contributor.alternativeNameShu, Jee Won-
dc.contributor.alternativeNameSong, Seung Hwan-
dc.contributor.alternativeNameSong, Joo Han-
dc.contributor.alternativeNameShin, Yu Rim-
dc.contributor.affiliatedAuthorWoo, Won Ki-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Sak-
dc.contributor.affiliatedAuthorLee, Seung Hyun-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorJoo, Hyun Chel-
dc.contributor.affiliatedAuthorKim, Bong Joon-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.contributor.affiliatedAuthorKim, Hyohyun-
dc.contributor.affiliatedAuthorPark, Han Ki-
dc.contributor.affiliatedAuthorShu, Jee Won-
dc.contributor.affiliatedAuthorSong, Seung Hwan-
dc.contributor.affiliatedAuthorSong, Joo Han-
dc.contributor.affiliatedAuthorShin, Yu Rim-
dc.contributor.affiliatedAuthorKim, Do Jung-
dc.citation.volume8-
dc.citation.number7-
dc.citation.startPage1804-
dc.citation.endPage1813-
dc.identifier.bibliographicCitationJOURNAL OF THORACIC DISEASE, Vol.8(7) : 1804-1813, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid48117-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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