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Refractory Cardiogenic Shock Treated By Veno-Arterial Ecmo; Prognostic Role Of Lactate
Refractory cardiogenic shock is characterized by severe hemodynamic instability with high mortality rate. In most critical patients extracorporeal membrane oxygenation (ECMO) is the only therapy available nowadays that gives a possibility to survive.On these bases we investigated the use of percutaneous veno-arterial ECMO as treatment for cardiogenic shock in our Cardiac Intensive Care Unit and tried to define prognostic factors.
Association of D-dimer and Fibrinogen With Hypercoagulability in COVID-19 Requiring Extracorporeal Membrane Oxygenation
In critically ill patients with COVID-19 treated with ECMO, D-dimer concentration had an inverse relationship with degree of hypercoagulability as measured by TEG MA. D-dimer elevation may potentially reflect hemostatic perturbation in patients on ECMO or the severity of COVID-19 related sepsis rather than designate patients likely to benefit from anticoagulation. Fibrinogen concentration may represent a more useful marker of hypercoagulability in this population.
