Table 5.
Complications.
| Complications | Overall (N = 244) | ECMO death (n = 132) | Survival to decannulation (n = 112) | P value |
|---|---|---|---|---|
| Arterial injury | 9.0 (3.7) | 5.0 (3.8) | 4.0 (3.6) | .929 |
| Dissection | 6.0 (2.5) | 4.0 (3.0) | 2.0 (1.8) | – |
| Pseudoaneurysm | 2.0 (0.8) | 0.0 (0.0) | 2.0 (1.8) | – |
| Retroperitoneal bleed | 1.0 (0.4) | 1.0 (0.8) | 0 (0) | – |
| Venous injury | 16.0 (6.6) | 11.0 (8.3) | 5.0 (4.5) | .225 |
| Dissection | 1.0 (0.4) | 0.0 (0.0) | 1.0 (0.9) | – |
| Hematoma | 15.0 (6.1) | 11.0 (8.3) | 4.0 (3.6) | – |
| Limb ischemia | 27.0 (11.1) | 19.0 (14.4) | 8.0 (7.1) | .073 |
| Compartment syndrome | 10.0 (4.1) | 7.0 (5.3) | 3.0 (2.7) | .305 |
| Return to cath lab | 33.0 (13.5) | 18.0 (13.6) | 15.0 (13.4) | .956 |
| Bleeding from access | 39.0 (16.0) | 24.0 (18.2) | 15.0 (13.4) | .311 |
| Thrombocytopenia | 207.0 (84.8) | 109.0 (82.6) | 98.0 (87.5) | .287 |
| Required platelet transfusion | 64.0 (26.2) | 29.0 (22.0) | 35.0 (31.3) | .101 |
| Required pRBC transfusion | 203.0 (83.2) | 103.0 (78.0) | 100.0 (89.3) | .019a |
| Infected cannulation site | 3.0 (1.2) | 0 (0) | 3.0 (2.7) | .059 |
| Bacteremia | 14.0 (5.7) | 6.0 (4.5) | 8.0 (7.1) | .387 |
| Need for wound vac placement | 10.0 (4.1) | 5.0 (3.8) | 5.0 (4.5) | .792 |
| Stroke | 36.0 (14.8) | 17.0 (12.9) | 19.0 (17.0) | .372 |
| Hemorrhagic | 16 (6.6) | –– | –– | – |
| Ischemic | 20.0 (8.2) | –– | –– | – |
| AKI post VA ECMO | 128.0 (52.5) | 80.0 (60.6) | 48.0 (42.9) | .006a |
| Required inpatient RRT | 55.0 (22.5) | 28.0 (21.2) | 27.0 (24.1) | .591 |
Values are n (%).
AKI, acute kidney injury; pRBC, packed red blood cells; RRT, renal replacement therapy; SAH, subarachnoid hemorrhage; SDH, subdural hematoma; vac, vacuum; VA ECMO, venoarterial extracorporeal membrane oxygenation.
a
Significant P values.