A new hybrid technique for ECPR implementation by non-surgeons

Lionel Lamhaut, Alice Hutin, Christelle Dagron, Frederic Baud, Kim An, Pierre Carli

Resumen


Introduction:

Extracorporeal cardiopulmonary resuscitation (ECPR) insertion techniques vary around the world. Our ECPR team has developed a hybrid technique for non-surgeons to implement ECPR for refractory cardiac arrest.

Methodology:

We conducted a retrospective monocentric study to evaluate this new ECPR implementation technique. Global ECPR implementation time, mean canula insertion time, and mean connection time were evaluated as well as failure rate.

Results:

During the 4-year study period, 187 patients were implemented with ECPR.

The mean age was 51 +/- 13 years. Fourty patients survived with good neurological outcome at the ICU discharge (22,5%).

Global ECPR implementation time was 21 min +/- 9. Mean canula insertion time was 15,1 min +/- 7, and  mean connection time was 6,1 min +/- 4,7. The global failure rate was 7,6 %.

Conclusion

Our ECPR implementation technique is efficient and safe for non-surgeons. It could contribute to increase the access to ECPR in centers without on-site cardiothoracic surgeons.


Palabras Clave


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