{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T13:02:10Z","timestamp":1782997330093,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T00:00:00Z","timestamp":1357862400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Extracorporeal life support (<jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content>) provides mechanical support following cardiac surgery when respiratory and cardiac failure occurs. We retrospectively reviewed medical records of patients who needed <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> at a new congenital heart center in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>urkey. Between <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2009 and <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary 2012, 616 congenital heart operations were performed. A total of 13 patients (seven female) underwent <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content>. The ages of the patients ranged between 16 days and 33 years. There were two neonatal, seven infant, three pediatric, and one adult congenital cases. <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edos <jats:styled-content style=\"fixed-case\">DPII ECLS<\/jats:styled-content> system was used in all patients. Mean duration of <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> was 6.2\u2009\u00b1\u20095.8 days (ranged from 29\u2009h to 24 days). While central vascular access with aorta and right atrial cannulation was used in 11 patients, neck vessels were used in the other patients. Four patients (30.7%) weaned successfully from <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> (two infant, two pediatric cases). Three of them had <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> intraoperatively. In all patients, two (15.4%) were discharged from the hospital. One of them had mild neurologic deficit. Bleeding from the surgical and cannulation sites was the most common complication. Thrombus was detected in pump head and changed uneventfully in three patients. Arterial <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> and lactate levels at the beginning of <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> were significantly lower in patients who were successfully weaned from <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> than nonsurvivors (<jats:italic>P<\/jats:italic>\u2009=\u20090.04 and <jats:italic>P<\/jats:italic>\u2009=\u20090.02, respectively). <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> can be a lifesaving modality in the perioperative period. It may be more beneficial if <jats:styled-content style=\"fixed-case\">ECLS<\/jats:styled-content> is used before the development of severe acidosis and high lactate levels.<\/jats:p>","DOI":"10.1111\/aor.12023","type":"journal-article","created":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T11:45:57Z","timestamp":1357904757000},"source":"Crossref","is-referenced-by-count":3,"title":["Extracorporeal Life Support Experiences of a New Congenital Heart Center in <scp>T<\/scp>urkey"],"prefix":"10.1111","volume":"37","author":[{"given":"Ersin","family":"Erek","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sertac","family":"Haydin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Onan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismihan Selen","family":"Onan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinar","family":"Yazici","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgen","family":"Kocyigit","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cansaran","family":"Tanidir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perihan","family":"Yivli","sequence":"additional","affiliation":[{"name":"Department of Perfusionist Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ender","family":"Odemis","sequence":"additional","affiliation":[{"name":"Department 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