{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:24:08Z","timestamp":1762500248968,"version":"build-2065373602"},"reference-count":19,"publisher":"Termedia Sp. z.o.o.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extracorporeal cardiopulmonary resuscitation (ECPR) is predominantly performed in high-volume centres with extensive experience, which may limit its adoption by new facilities. However, data from the\u00a0Extracorporeal Life Support Organization registry indicate that ECPR is often performed in small-volume centres, suggesting potential for its successful implementation. The\u00a0aim of\u00a0the\u00a0study was to assess the\u00a0first-year periprocedural results and patient outcomes after launching an ECPR programme in a\u00a0newly established referral centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 22 consecutive patients (median age 44.5 years, 77.3% male) who underwent ECPR for out-of-hospital cardiac arrest between May 2023 and May 2024 were retrospectively analysed. The\u00a0most frequent aetiologies were acute myocardial infarction (31.8%) and pulmonary embolism (22.7%). Periprocedural characteristics, complications, and survival and neurological outcomes at 3 months were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The\u00a0median cannulation time was 15.5 minutes (IQR: 15.0\u201320.0) and median time from cardiac arrest to extracorporeal membrane oxygenation flow was 59.5 minutes (IQR: 40.0\u201378.8). At 3-month follow-up, the\u00a0survival rate reached 31.8% (7 patients), and a\u00a0favourable neurological outcome (a\u00a0score of\u00a01 or 2 on the\u00a0Cerebral Performance Category Scale) occurred in 27.3% of\u00a0the\u00a0study group (6 patients). The\u00a0cannulation success rate was 100%. In one case, cannulation was complicated by a\u00a0perforation of\u00a0the\u00a0right femoral artery, necessitating endovascular repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The\u00a0preliminary results from the\u00a0first year of\u00a0our ECPR programme indicate that initiation of\u00a0such an advanced resuscitative strategy in a\u00a0newly established centre is achievable, with acceptable short-term clinical and neurological outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5114\/ait\/212549","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:20:06Z","timestamp":1762500006000},"page":"332-339","source":"Crossref","is-referenced-by-count":0,"title":["Establishing a new ECPR referral center in Poland \u2013 first year periprocedural results and patient outcomes"],"prefix":"10.5114","volume":"57","author":[{"given":"Anna","family":"Kwinta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Biela\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"Szkudlarek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Klimczyk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Sk\u0142adzie\u0144","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafa\u0142","family":"Depukat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Lonc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Drygalski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Za\u0142ustowicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Krzanowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanis\u0142aw","family":"Bartu\u015b","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"Terlecki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"ref-1590468","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.010"},{"key":"ref-1590469","doi-asserted-by":"crossref","unstructured":"Chonde M, Escajeda J, Elmer J, Callaway CW, Guyette FX, Boujoukos A, et al. Challenges in the\u00a0development and implementation of\u00a0a\u00a0healthcare system-based extracorporeal cardiopulmonary resuscitation (ECPR) program for the\u00a0treatment of\u00a0out-of-hospital cardiac arrest. Resuscitation 2019; 148: 259-265. DOI: 10.1016\/ j.resuscitation.2019.12.015.","DOI":"10.1016\/j.resuscitation.2019.12.015"},{"key":"ref-1590470","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06514-y"},{"key":"ref-1590471","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacbts.2017.02.003"},{"key":"ref-1590472","unstructured":"Extracorporeal Life Support Organization. ECLS Registry Report. International Summary May 2024: report data through 2023. Ann Arbor, MI: Extracorporeal Life Support Organization; 2024. 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Advanced reperfusion strategies for patients with out\u2011of\u2011hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a\u00a0phase 2, single\u2011centre, open\u2011label, randomized controlled trial. Lancet 2020; 396: 1807-1816.","DOI":"10.1016\/S0140-6736(20)32338-2"},{"key":"ref-1590481","doi-asserted-by":"crossref","unstructured":"Belohlavek J, Smalcova J, Rob D, Franek O, Smid O, Pokorna M, et al. Effect of\u00a0intra\u2011arrest transport, extracorporeal cardiopulmonary resuscitation, and immediate invasive assessment and treatment on functional neurologic outcome in refractory out\u2011of\u2011hospital cardiac arrest: a\u00a0randomized clinical trial (Prague OHCA trial). JAMA 2022; 327: 737-747.","DOI":"10.1001\/jama.2022.6548"},{"key":"ref-1590482","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2204511"},{"key":"ref-1590483","doi-asserted-by":"publisher","DOI":"10.1016\/j.resplu.2023.100521"},{"key":"ref-1590484","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-65498-9"},{"key":"ref-1590485","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006157"},{"key":"ref-1590486","doi-asserted-by":"publisher","DOI":"10.33963\/v.kp.97817"}],"container-title":["Anaesthesiology Intensive Therapy"],"original-title":[],"link":[{"URL":"https:\/\/www.ait-journal.com\/pdf-212549-131958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ait-journal.com\/pdf-212549-131958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:20:08Z","timestamp":1762500008000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ait-journal.com\/Establishing-a-new-ECPR-referral-center-in-Poland-first-year-periprocedural-results,212549,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,6]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"alternative-id":["212549"],"URL":"https:\/\/doi.org\/10.5114\/ait\/212549","relation":{},"ISSN":["1642-5758","1731-2531"],"issn-type":[{"value":"1642-5758","type":"print"},{"value":"1731-2531","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,6]]}}}