Extracorporeal Membrane Oxygenation (ECMO)-Associated Coagulopathy in Adults
Frantzeska Frantzeskaki,
Dimitrios Konstantonis,
Michail Rizos,
Vasileios Kitsinelis,
Georgios Skyllas,
Ioannis Renieris,
Maria Doumani,
Vasileios Kolias,
Eirini Kefalidi,
Dimitrios Angouras,
Argyrios Tsantes,
Iraklis Tsangaris
Affiliations
Frantzeska Frantzeskaki
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Dimitrios Konstantonis
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Michail Rizos
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Vasileios Kitsinelis
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Georgios Skyllas
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Ioannis Renieris
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Maria Doumani
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Vasileios Kolias
Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Eirini Kefalidi
Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Dimitrios Angouras
Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Argyrios Tsantes
Laboratory of Haematology, Blood Bank Unit, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Iraklis Tsangaris
2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 157 72 Athens, Greece
Extracorporeal membrane oxygenation (ECMO) is used for the management of severe respiratory and cardiac failure and as a bridge to achieve definite treatment or transplantation. ECMO-associated coagulopathy (EAC) is a frequent complication leading to high rates of thrombosis or severe haemorrhage, contributing to morbidity and mortality among patients. Understanding the pathophysiology of EAC is substantial for effectively managing patients on ECMO. We analyse the underlying mechanism of EAC and discuss the monitoring of the coagulation profile, combining the viscoelastic point-of-care assays with the conventional coagulation laboratory tests.
