Table 2:
Cannula position and complications (n=45 patients)
| Variable | n (%) |
|---|---|
| Complications (any) | 12 (27%) |
| Cardiac arrest | 4 (9%) |
| Pericardial hemorrhage | 1 (2%) |
| Unable to cannulate/aborted | 1 (2%) |
| Hypotension | 1 (2%) |
| Cannula malposition | 5 (11%) |
| Complications (due to procedure)(any) | 6 (13%) |
| Pericardial hemorrhage | 1 (2%) |
| Unable to cannulate/aborted | 1 (2%) |
| Cannula malposition | 5 (11%) |
| Clinical consequences of initial malposition (n=44) | |
| Not Applicable | 39 (89%) |
| Hypoxemia | 4 (9%) |
| Decreased Flow | 1 (2%) |
| Cannulation location | |
| ICU | 40 (89%) |
| Cath Lab | 1 (2%) |
| Operating Room | 4 (9%) |
| Imaging used for cannulation | |
| TEE | 42 (93.3%) |
| TTE + Fluoroscopy | 2 (4.4%) |
| TEE + Fluoroscopy | 1 (2.2%) |
| Clinical consequences of malposition later during ECMO course | |
| None | 27 (61%) |
| Hypoxemia | 13 (30%) |
| Decreased Flow | 3 (7%) |
| Insufficient documentation | 1 (2%) |
| Cannula adjusted during ECMO run | 21 (47%) |
| Survived to successful decannulation | 30 (67%) |
| Disposition among those successfully decannulated from ECMO (n=30) | |
| Home | 11 (37%) |
| Long-Term Acute Care | 7 (23%) |
| Acute Rehabilitation | 9 (30%) |
| Transfer to another hospital | 1 (3%) |
| Died before discharge | 2 (7%) |
| Cause of death on ECMO (n=15) | |
| Multi-system organ failure | 5 (33%) |
| Transition to palliative care | 3 (20%) |
| Neurologic injury | 5 (33%) |
| Other | 2 (13%) |
| Cause of in-hospital death after ECMO (n=2) | |
| Hypoxemia/hypercarbia | 1 (50%) |
| Cardiogenic shock | 1 (50%) |
Missing values by group: Complications (due to procedure)=1/6; Clinical consequences of initial malposition=1/44; Clinical consequences of malposition later during ECMO course=1/44; Disposition among those successfully decannulated from ECLS=1/30