Outcomes of intraoperative extracorporeal membrane oxygenation versus cardiopulmonary bypass for lung transplantation

摘要: Objective The study objective was to compare the outcomes of intraoperative extracorporeal membrane oxygenation versus cardiopulmonary bypass support in lung transplantation. Methods We performed a retrospective cohort from prospective database adult transplantations at University Toronto 2007 2013. Among 673 period, 267 (39.7%) required support. There were 39 cases (2012-2013) and 228 (2007-2013). Patients who bridged with life support, underwent concomitant cardiac procedure, received combined liver or heart transplant, colonized Burkholderia cenocepacia , emergency cannulation for excluded. Finally, 33 matched 66 according age (±10 years), transplantation indication, procedure type (bilateral vs single transplantation). Results Recipient factors such as body mass index gender not different between groups. Furthermore, donor variables similar, including age, index, last PaO2/FiO2 ratio, smoking history, positive airway cultures, (brain death donation after death). Early outcomes, mechanical ventilation requirement, length intensive care unit stay, hospital significantly favored (median 3 7.5 days, P  = .005; 5 9.5  = .026; 19 27  = .029, respectively). Perioperative blood product transfusion requirement lower group. 90-day mortality group 6% 15% (  = .32). Conclusions Extracorporeal may be considered first choice cardiorespiratory