Cardiac Tamponade Complicating Extracorporeal Membrane Oxygenation: An Extracorporeal Life Support Organization Registry Analysis
Authors' conclusion
Cardiac tamponade is a rare complication during ECMO that, despite being potentially reversible, is associated with high hospital mortality.
Study context
- Population
- Adults on extracorporeal membrane oxygenation (ECMO), Extracorporeal Life Support Organization (ELSO) Registry, 1997 to 2021tamponade in 2,176 of 84,430 adults
- Participants
- 2,176 vs 84,430
- Exposure
- Cardiac tamponade vs All adults
- Cardiac tamponaden = 2,176
- All adultsn = 84,430reference
- Outcome
- Incidence of cardiac tamponade
Methodological detailsmulticentre registry, multivariate analysis
- Multicentre registry
- Multivariate analysis
Main finding
As reported in the abstract
Cardiac tamponade
2.6%
2,176
Observational data: associations, not effects.
Further findings
Hospital survival
P < 0.01
ECMO configuration and indication (tamponade patients)
- Venoarterial ECMO
- 78%
- VV ECMO
- 18%
- Cardiac support
- 67%
- Pulmonary support
- 21%
- Extracorporeal cardiopulmonary resuscitation (ECPR)
- 12%
- Percutaneous cannulation
- 51%
- Dual-lumen cannulae in VV ECMO
- 39%
Risk factors for hospital mortality (multivariate analysis)
- Age, aortic dissection and/or rupture, COVID-19, ECPR, pre-ECMO RRT and prone position associated with hospital mortality
- ECMO for pulmonary support associated with hospital survival
- Renal, cardiovascular, metabolic, neurologic and pulmonary complications more frequent in nonsurvivors
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Cardiac Tamponade Complicating Extracorporeal Membrane Oxygenation: An Extracorporeal Life Support Organization Registry Analysis. J Cardiothorac Vasc Anesth. Published 23 December 2023. doi:10.
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