From: Acute vascular complications of femoral veno-arterial ECMO: a single-centre retrospective study
Studied criteria | All patients | Limb ischemia group | No limb ischemia group | P value |
---|---|---|---|---|
Acute Kidney injury | 39 (60) | 21 (100) | 18 (40.9) | < 0.001 |
Renal replacement therapy | 27 (41.5) | 12 (57.1) | 15 (34.1) | 0.07 |
Cerebrovascular stroke | 13 (20) | 5 (23.8) | 8 (18.2) | 0.74 |
Cerebral ischemic stroke | 7 (11.9) | 3 (17.6) | 4 (9.5) | 0.39 |
Intracerebral haemorrhage | 6 (10.2) | 2 (11.8) | 4 (9.5) | 0.9 |
ICU days | 19 (3–191) | 19 (10–93) | 17 (3–191) | 0.028 |
Ventilator days | 10 (2–191) | 14 (5–81) | 9 (2–191) | 0.053 |
Gastrointestinal bleeding | 14 (21.5) | 4 (19) | 10 (22.7) | 0.92 |
Atrial fibrillation | 25 (38.5) | 9 (42.9) | 16 (36.4) | 0.61 |
Intracardiac thrombi | 4 (6.2) | 1 (4.8) | 3 (6.8) | 0.9 |
ECMO circuits thrombi | 4 (6.2) | 1 (4.8) | 3 (6.8) | 0.9 |
ECMO days before ischemia | 6 (1–21) | 6 (1–21) | ------- | ---- |
ECMO days | 8 (3–40) | 7 (4–40) | 8 (3–32) | 0.27 |
Changing to central VA-ECMO | 3 (4.6) | 2 (9.5) | 1 (2.3) | 0.29 |
Changing to LVAD | 11 (16.9) | 4 (19) | 7 (15.9) | 0.34 |
Decannulation and no MCS | 51 (78.5) | 15 (71.4) | 36 (81.8) | 0.41 |
Hospital mortality | 29 (44.6) | 9 (42.9) | 20 (45.5) | 0.84 |
SOFA score day 1 | 12 (8–21) | 10 (8–21) | 14 (8–21) | 0.008 |
SOFA score day 3 | 13 (6–24) | 10 (7–22) | 14 (6–24) | 0.034 |
∆ 1 SOFA | − 1 (− 5 to 6) | 1 (− 4 to 6) | − 2 (− 5 to 6) | 0.12 |
SOFA score day 5 | 10 (5–24) | 9 (6–21) | 10 (5–24) | 0.45 |
∆ 2 SOFA | − 2 (− 7 to 9) | 0 (− 5 to 8) | − 3 (− 7 to 9) | 0.14 |