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Long-term outcomes after intraoperative extracorporeal membrane oxygenation during lung transplantation

Journal of Heart and Lung Transplantation May 22, 2020

Ius F, Aburahma K, Boethig D, et al. - Researchers sought to describe their experience of using intraoperative extracorporeal membrane oxygenation (ECMO) in isolated lung transplantation. Further, they described its impact on long-term graft function and survival. They evaluated 1,161 patients who underwent isolated lung transplantation with or without ECMO support between January 2010 and June 2019. Among these cases, 311 (27%) received intraoperative ECMO, with 24 (2%) patients further requiring cardiopulmonary bypass. Intraoperative cardiopulmonary support was not required in any of the remaining 826 (71%) patients. A more complicated peri-operative and early postoperative course was reported in ECMO recipients when compared with patients not requiring cardiopulmonary support. However, there were no differences in long-term complications or outcomes among those surviving to hospital discharge.

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