{
    "abstract": "The aim of this study was to provide early and mid-term results of the newly established extracorporeal membrane oxygenation (ECMO) retrieval service in a tertiary cardiothoracic center using the miniaturized portable Cardiohelp System (Maquet, Rastatt, Germany). A particular attention was paid to organizational and logistic specifics as well as challenges and pitfalls associated with initial phase of the program. From January 2015 until January 2017 a heterogenic group of 28 consecutive patients underwent ECMO implantation in distant hospitals for acute cardiac, pulmonary or combined failure as a bridge-to-decision and were subsequently transported to our institution. Each cannulation was performed bedside on intensive care units (ICU) using the Seldinger's technique. Early outcomes and mid-term overall survival with up to two-year follow-up along with the impact of ongoing cardiopulmonary resuscitation (CPR) on outcome were presented. Also, changes in hemodynamics and tissue perfusion factors 24 h after ECMO implantation were evaluated. ECMO implantations were performed in 15 distant departments with the median distance of 23(10;40) (maximum 60) km. A total of 15 patients (54%) were cannulated under CPR with the median duration of 30(20;110) (maximum 180) min. After 24 h of support there were significant improvements in SvO",
    "authors": [
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Anton",
            "initials": "A",
            "lastname": "Sabashnikov"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Ilja",
            "initials": "I",
            "lastname": "Djordjevic"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Antje-Christin",
            "initials": "AC",
            "lastname": "Deppe"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Elmar W",
            "initials": "EW",
            "lastname": "Kuhn"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Julia",
            "initials": "J",
            "lastname": "Merkle"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Carolyn",
            "initials": "C",
            "lastname": "Weber"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Dirk",
            "initials": "D",
            "lastname": "Sindhu"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Kaveh",
            "initials": "K",
            "lastname": "Eghbalzadeh"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Mohamed",
            "initials": "M",
            "lastname": "Zeriouh"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Oliver J",
            "initials": "OJ",
            "lastname": "Liakopoulos"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Parwis B",
            "initials": "PB",
            "lastname": "Rahmanian"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Ferdinand",
            "initials": "F",
            "lastname": "Kuhn-R\u00e9gnier"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Yeong-Hoon",
            "initials": "YH",
            "lastname": "Choi"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Navid",
            "initials": "N",
            "lastname": "Madershahian"
        },
        {
            "affiliation": "Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.\nECMO Centre, University Hospital Cologne, Cologne, Germany.",
            "firstname": "Thorsten",
            "initials": "T",
            "lastname": "Wahlers"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2017 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.",
    "doi": "10.1111/aor.13067",
    "journal": "Artificial organs",
    "keywords": [
        "-Cardiopulmonary resuscitation",
        "-Outcomes",
        "-Retrieval",
        "-Transport",
        "Extracorporeal membrane oxygenation"
    ],
    "methods": null,
    "publication_date": "2017-12-28",
    "pubmed_id": "29280162",
    "results": null,
    "title": "Managing Traps and Pitfalls During Initial Steps of an ECMO Retrieval Program Using a Miniaturized Portable System: What Have We Learned From the First Two Years?",
    "xml": "<Element 'PubmedArticle' at 0x788505743bf0>"
}