{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:47:23Z","timestamp":1787856443044,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Post\u2010cardiotomy extracorporeal life support (ECLS) cannulation might occur in a general post\u2010operative ward due to emergent conditions. Its characteristics have been poorly reported and investigated This study investigates the characteristics and outcomes of adult patients receiving ECLS cannulation in a general post\u2010operative cardiac ward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Post\u2010cardiotomy Extracorporeal Life Support (PELS) is a retrospective (2000\u20132020), multicenter (34 centers), observational study including adult patients who required ECLS for post\u2010cardiotomy shock. This PELS sub\u2010analysis analyzed patients\u00b4 characteristics, in\u2010hospital outcomes, and long\u2010term survival in patients cannulated for veno\u2010arterial ECLS in the general ward, and further compared in\u2010hospital survivors and non\u2010survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PELS study included 2058 patients of whom 39 (1.9%) were cannulated in the general ward. Most patients underwent isolated coronary bypass grafting (CABG, <jats:italic>n<\/jats:italic>\u2009=\u200915, 38.5%) or isolated non\u2010CABG operations (<jats:italic>n<\/jats:italic>\u2009=\u200920, 51.3%). The main indications to initiate ECLS included cardiac arrest (<jats:italic>n<\/jats:italic>\u2009=\u200917, 44.7%) and cardiogenic shock (<jats:italic>n<\/jats:italic>\u2009=\u200914, 35.9%). ECLS cannulation occurred after a median time of 4 (2\u20137) days post\u2010operatively. Most patients' courses were complicated by acute kidney injury (<jats:italic>n<\/jats:italic>\u2009=\u200923, 59%), arrhythmias (<jats:italic>n<\/jats:italic>\u2009=\u200919, 48.7%), and postoperative bleeding (<jats:italic>n<\/jats:italic>\u2009=\u200920, 51.3%). In\u2010hospital mortality was 84.6% (<jats:italic>n<\/jats:italic>\u2009=\u200933) with persistent heart failure (<jats:italic>n<\/jats:italic>\u2009=\u200911, 28.2%) as the most common cause of death. No peculiar differences were observed between in\u2010hospital survivors and nonsurvivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that ECLS cannulation due to post\u2010cardiotomy emergent adverse events in the general ward is rare, mainly occurring in preoperative low\u2010risk patients and after a postoperative cardiac arrest. High complication rates and low in\u2010hospital survival require further investigations to identify patients at risk for such a complication, optimize resources, enhance intervention, and improve outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.14818","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T11:00:08Z","timestamp":1721041208000},"page":"1355-1365","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Post\u2010cardiotomy extracorporeal life support: A cohort of cannulation in the general ward"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4167-5736","authenticated-orcid":false,"given":"Gabor","family":"Bari","sequence":"first","affiliation":[{"name":"Clinic of Internal Medicine, Department of Cardiac Surgery University of Szeged  Szeged Hungary"},{"name":"Maastricht University Medical Center Cardio\u2010Thoracic Surgery Department and Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-1399","authenticated-orcid":false,"given":"Silvia","family":"Mariani","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Center Cardio\u2010Thoracic Surgery Department and Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"},{"name":"Department of Medicine and Surgery, Cardiac Surgery Clinic San Gerardo Hospital  Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bas C. T.","family":"van Bussel","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Center Cardio\u2010Thoracic Surgery Department and Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Ravaux","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Center Cardio\u2010Thoracic Surgery Department and Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Di\u00a0Mauro","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Center Cardio\u2010Thoracic Surgery Department and Cardiovascular Research Institute Maastricht  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawad","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Leipzig Heart Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6550-0872","authenticated-orcid":false,"given":"Matteo","family":"Pozzi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Louis Pradel Cardiologic Hospital  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Botta","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Pacini","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Boeken","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Heinrich Heine University  Duesseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-2211","authenticated-orcid":false,"given":"Robertas","family":"Samalavicius","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain management Vilnius University Hospital Santariskiu Klinikos  Vilnius Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Bounader","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic and Vascular Surgery Pontchaillou University Hospital  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotong","family":"Hou","sequence":"additional","affiliation":[{"name":"Center for Cardiac Intensive Care, Beijing Institute of Heart, Lung, and Blood Vessels Diseases Beijing Anzhen Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen J. 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