ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: our single-center experience
Ahmet Yüksel1, Mehmet Ergun Tecimer2, Haluk Mevre Özgöz3, Atıf Yolgösteren1, İrem İris Kan1, Ali İmran Doğan1, Işık Şenkaya Sığnak1
1Department of Cardiovascular Surgery, Medical Faculty of Uludağ University, Bursa, Turkey
2Department of Cardiovascular Surgery, Kahramanmaraş Afşin State Hospital, Kahramanmaraş, Turkey
3Department of Cardiovascular Surgery, Kilis State Hospital, Gaziantep, Turkey
DOI : 10.5606/tgkdc.dergisi.2017.13483
Background: In this study, we present our five-year experience with venovenous extracorporeal membrane oxygenation for the treatment of acute respiratory distress syndrome.

Methods: Between November 2010 and November 2015, 33 patients (24 males, 9 females; mean age: 48.6±14.7 years; range 19 to 76 years) with acute respiratory distress syndrome refractory to conventional therapy were supported with venovenous extracorporeal membrane oxygenation. The general indication for venovenous extracorporeal membrane oxygenation support was refractory hypoxia, hypercapnia, and respiratory acidosis, despite the optimization of conventional therapy. Detailed clinical data of the patients were retrospectively analyzed.

Results: Cannulation was achieved via femoral-femoral veins in 24 patients (73%) and jugular-femoral veins in nine patients (27%). The median duration of venovenous extracorporeal membrane oxygenation support was 17 (range, 1 to 52) days. The most common complication was minor bleeding in six patients (18%). Eighteen patients (54.5%) were successfully weaned from venovenous extracorporeal membrane oxygenation support. Of these patients, 13 (39.4%) survived and were discharged from the hospital.

Conclusion: Venovenous extracorporeal membrane oxygenation can be a life-saving treatment modality in patients with severe acute respiratory distress syndrome. Improved results may be provided with increased experience and an established standard protocol for the management of venovenous extracorporeal membrane oxygenation.

Keywords : Acute respiratory distress syndrome; life-saving modality; venovenous extracorporeal membrane oxygenation
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