{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:32:04Z","timestamp":1788449524251,"version":"build-2803163510"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The frequency of using veno-arterial extracorporeal membrane oxygenation increased, especially in patients with refractory cardiogenic shock or cardiac arrest. However, data of complications of veno-arterial extracorporeal membrane oxygenation are lacking. This study sought to investigate the incidence of veno-arterial extracorporeal membrane oxygenation complications for acute myocardial infarction patients with refractory cardiogenic shock or cardiac arrest and its relationship with patient survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study included 151 consecutive patients who underwent veno-arterial extracorporeal membrane oxygenation between 2006 and 2018 at a single referral center. We divided the patients into those who survived for 30\u2009days after veno-arterial extracorporeal membrane oxygenation ( n\u2009=\u200957, 38%; group 1) and those who died within 30\u2009days after veno-arterial extracorporeal membrane oxygenation support ( n\u2009=\u200994, 62%; group 2). The major adverse clinical events associated with veno-arterial extracorporeal membrane oxygenation were defined as first occurrence of infection, major bleeding, and stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Adverse clinical events associated with veno-arterial extracorporeal membrane oxygenation occurred in 34 (59.6%) and 56 (59.6%) patients in groups 1 and 2, respectively. Group 2 had more patients who underwent new renal replacement therapy (21.1% vs 37.2%, p\u2009=\u20090.037). After multivariable analysis, cardiac arrest was independently associated with 30-day mortality (odds ratio\u2009=\u20093.6; 95% confidence interval\u2009=\u20091.7\u20137.63; p\u2009=\u20090.001). After excluding patients who died within 48\u2009h after undergoing veno-arterial extracorporeal membrane oxygenation, new renal replacement therapy (odds ratio\u2009=\u20094.47; 95% confidence interval\u2009=\u20091.58\u201312.61; p\u2009=\u20090.005) and major adverse clinical events (odds ratio\u2009=\u20092.66; 95% confidence interval\u2009=\u20091.01\u20137.03; p\u2009=\u20090.049) were independently associated with 30-day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although veno-arterial extracorporeal membrane oxygenation can improve the survival, it is associated with morbidity. Therefore, risk\u2013benefit analysis for veno-arterial extracorporeal membrane oxygenation and prevention of complications are important to improve prognosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0391398819868483","type":"journal-article","created":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T02:12:16Z","timestamp":1565316736000},"page":"37-44","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Complications of veno-arterial extracorporeal membrane oxygenation for refractory cardiogenic shock or cardiac arrest"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1241-891X","authenticated-orcid":false,"given":"Soo Youn","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki-Hyun","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Jong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Bak","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho-Jun","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Je Sang","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Hoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Sik","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rak Kyeong","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Jin","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sejong General Hospital, Bucheon, Republic of 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