Neurological Complications during Short-Term Circulatory Support

Authors

  • L. Le Guennec Inserm, UMRS_1166-ICAN, UPMC université Paris-VI, Institute of Cardiometabolism and Nutrition, Sorbonne Universités
  • M. Schmidt Inserm, UMRS_1166-ICAN, UPMC université Paris-VI, Institute of Cardiometabolism and Nutrition, Sorbonne Universités
  • N. Bréchot Inserm, UMRS_1166-ICAN, UPMC université Paris-VI, Institute of Cardiometabolism and Nutrition, Sorbonne Universités
  • G. Lebreton Service de chirurgie thoracique et cardiovasculaire, institut de cardiologie, groupe hospitalier Pitié–Salpêtrière, Assistance publique–Hôpitaux de Paris
  • P. Leprince Service de chirurgie thoracique et cardiovasculaire, institut de cardiologie, groupe hospitalier Pitié–Salpêtrière, Assistance publique–Hôpitaux de Paris
  • A. Combes Inserm, UMRS_1166-ICAN, UPMC université Paris-VI, Institute of Cardiometabolism and Nutrition, Sorbonne Universités
  • C.-E. Luyt Inserm, UMRS_1166-ICAN, UPMC université Paris-VI, Institute of Cardiometabolism and Nutrition, Sorbonne Universités

DOI:

https://doi.org/10.1007/s13546-016-1217-4

Keywords:

Interstitial lung disease, Idiopathic inflammatory myositis, Amyopathic forms, Pneumomediastinum, Prognosis

Abstract

Extracorporeal membrane oxygenation (ECMO) is used to support patients with respiratory and/or circulatory failure refractory to conventional therapies. Its use is increasing and associated with nervous system complications, responsible for high morbidity and mortality. These neurological events are mainly cerebrovascular in nature; that is, ischemic stroke and cerebral hemorrhage. Many pre-ECMO factors are associated with neurological injury but during the course of ECMO, the modality used is also diversely associated with nervous system complication. Stroke occurs mainly during venoarterial ECMO, whereas cerebral hemorrhage is mostly observed during venovenous ECMO. These complications have an important impact in terms of outcome, and consequently on multidisciplinary teams decisions. Early detection and specific care for neurological complications could improve the prognosis of these patients.

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Published

2016-07-08

How to Cite

Le Guennec, L., Schmidt, M., Bréchot, N., Lebreton, G., Leprince, P., Combes, A., & Luyt, C.-E. (2016). Neurological Complications during Short-Term Circulatory Support. Médecine Intensive Réanimation, 25(Suppl. 4), S150-S160. https://doi.org/10.1007/s13546-016-1217-4

Issue

Vol. 25 No. Suppl. 4 (2016): Supplément 4 - Septembre 2016

Section

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