{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:06:52Z","timestamp":1785575212724,"version":"3.56.0"},"reference-count":21,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The age limit for the use of extracorporeal membrane oxygenation (ECMO) support for post-cardiotomy cardiac failure is not defined. The aim of the study was to evaluate the outcomes of octogenarians supported with ECMO due to cardiogenic shock. Methods: A retrospective review of consecutive elderly patients supported with ECMO during a 13-year period in a tertiary care center. Patient\u2019s demographic variables, comorbidities, perioperative data and outcomes were collected from patient medical records. Data of octogenarian patients were compared with the septuagenarian group. The main outcomes of the study was in hospital mortality, 6-month survival and 1-year survival after hospital discharge and discharge options. Multivariate logistic regression analysis was performed to identify the factors associated with hospital survival. Results: Eleven patients (18.3%) in the elderly group were octogenarians (aged 80 years or above), and forty-nine (81.7%) were septuagenarians (aged 70\u201379 years). There were no differences except age in demographic and preoperative variables between groups. Pre ECMO SAVE, SOFA, SAPS\u2014II and inotropic scores were significantly higher in septuagenarians than octogenarians. There was no statistically significant difference in hospital mortality, 6-month survival, 1 year survival or discharge options between groups. Conclusions: ECMO could be successfully used in selected octogenarian patients undergoing cardiac surgery to support a failing heart. An early decision to initiate ECMO therapy in elderly post-cardiotomy shock patients is associated with favorable outcomes.<\/jats:p>","DOI":"10.3390\/jcm12020585","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T05:26:31Z","timestamp":1673414791000},"page":"585","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Extracorporeal Life Support for Cardiogenic Shock in Octogenarians: Single Center Experience"],"prefix":"10.3390","volume":"12","author":[{"given":"Nadezda","family":"Scupakova","sequence":"first","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"},{"name":"Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolis","family":"Urbonas","sequence":"additional","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"},{"name":"Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agne","family":"Jankuviene","sequence":"additional","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9310-1868","authenticated-orcid":false,"given":"Lina","family":"Puodziukaite","sequence":"additional","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Povilas","family":"Andrijauskas","sequence":"additional","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilius","family":"Janusauskas","sequence":"additional","affiliation":[{"name":"Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4283-492X","authenticated-orcid":false,"given":"Aleksejus","family":"Zorinas","sequence":"additional","affiliation":[{"name":"Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kestutis","family":"Laurusonis","sequence":"additional","affiliation":[{"name":"Kardiolitos Klinikos, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranas","family":"Serpytis","sequence":"additional","affiliation":[{"name":"Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"},{"name":"Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-2211","authenticated-orcid":false,"given":"Robertas","family":"Samalavicius","sequence":"additional","affiliation":[{"name":"II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania"},{"name":"Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1111\/j.1540-8191.2010.01045.x","article-title":"Mechanical Support for Postcardiotomy Cardiogenic Shock: Has Progress Been Made?","volume":"25","author":"Sylvin","year":"2010","journal-title":"J. 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