{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T20:03:25Z","timestamp":1781899405363,"version":"3.54.5"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T00:00:00Z","timestamp":1590537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Acute mesenteric ischaemia is a severe complication in critically ill patients, but has never been evaluated in patients on veno-arterial extracorporeal membrane oxygenation (V-A ECMO). This study was designed to determine the prevalence of mesenteric ischaemia in patients supported by V-A ECMO and to evaluate its risk factors, as well as to appreciate therapeutic modalities and outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In a retrospective single centre study (January 2013 to January 2017), all consecutive adult patients who underwent V-A ECMO were included, with exclusion of those dying in the first 24 hours. Diagnosis of mesenteric ischaemia was performed using digestive endoscopy, computed tomography scan or first-line laparotomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred and fifty V-A ECMOs were implanted (65 for post-cardiotomy shock, 85 for acute cardiogenic shock, including 39 patients after refractory cardiac arrest). Overall, median age was 58 (48\u201369) years and mortality 56%. Acute mesenteric ischaemia was suspected in 38 patients, with a delay of four (2\u20137) days after ECMO implantation, and confirmed in 14 patients, that is, a prevalence of 9%. Exploratory laparotomy was performed in six out of 14 patients, the others being too unstable to undergo surgery. All patients with mesenteric ischaemia died. Independent risk factors for developing mesenteric ischaemia were renal replacement therapy (odds ratio (OR) 4.5, 95% confidence interval (CI) 1.3\u201315.7, p=0.02) and onset of a second shock within the first five days (OR 7.8, 95% CI 1.5\u201341.3, p=0.02). Conversely, early initiation of enteral nutrition was negatively associated with mesenteric ischaemia (OR 0.15, 95% CI 0.03\u20130.69, p=0.02).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Acute mesenteric ischaemia is a relatively frequent but dramatic complication among patients on V-A ECMO.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1177\/2048872620915655","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T12:11:33Z","timestamp":1590581493000},"page":"62-70","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Acute mesenteric ischaemia in refractory shock on veno-arterial extracorporeal membrane oxygenation"],"prefix":"10.1093","volume":"10","author":[{"given":"Marie","family":"Renaudier","sequence":"first","affiliation":[{"name":"Service d\u2019anesth\u00e9sie-r\u00e9animation chirurgicale, r\u00e9animation chirurgicale polyvalente, DMU CARE, DHU A-TVB, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quentin","family":"de Roux","sequence":"additional","affiliation":[{"name":"Service d\u2019anesth\u00e9sie-r\u00e9animation chirurgicale, r\u00e9animation chirurgicale polyvalente, DMU CARE, DHU A-TVB, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, France"},{"name":"U955-IMRB, Equipe 03 \u2018Pharmacologie et technologies pour les maladies cardiovasculaires (PROTECT)\u2019 Inserm, Univ Paris Est Creteil (UPEC), Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort (EnVA), France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wulfran","family":"Bougouin","sequence":"additional","affiliation":[{"name":"R\u00e9animation polyvalente, Ramsay G\u00e9n\u00e9rale de Sant\u00e9, H\u00f4pital Priv\u00e9 Jacques Cartier, France"},{"name":"Paris Sudden Death Expertise Centre, Paris Cardiovascular Research Centre (PARCC), France"},{"name":"AfterROSC Research Group, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Boccara","sequence":"additional","affiliation":[{"name":"Service d\u2019anesth\u00e9sie-r\u00e9animation chirurgicale, r\u00e9animation chirurgicale polyvalente, DMU CARE, DHU A-TVB, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baptiste","family":"Dubost","sequence":"additional","affiliation":[{"name":"Service d\u2019anesth\u00e9sie-r\u00e9animation chirurgicale, r\u00e9animation chirurgicale polyvalente, DMU CARE, DHU A-TVB, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, 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France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Folliguet","sequence":"additional","affiliation":[{"name":"Service de chirurgie cardiaque, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, France"},{"name":"Univ Paris Est Creteil, Facult\u00e9 de Sant\u00e9, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Mul\u00e9","sequence":"additional","affiliation":[{"name":"Univ Paris Est Creteil, Facult\u00e9 de Sant\u00e9, France"},{"name":"Service d\u2019imagerie m\u00e9dicale, Assistance Publique-H\u00f4pitaux de Paris (AP-HP), H\u00f4pitaux Universitaires Henri Mondor, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Amiot","sequence":"additional","affiliation":[{"name":"Univ Paris Est Creteil, Facult\u00e9 de Sant\u00e9, France"},{"name":"Service de gastro-ent\u00e9rologie, Assistance Publique-H\u00f4pitaux 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