Outcome of extracorporeal membrane oxygenation support for complex high-risk elective percutaneous coronary interventions: A single-centre experience

Objective: We report our initial experience with extracorporeal membrane oxygenation (ECMO) use inelective high-risk complex percutaneous coronary intervention (PCI).Background: ECMO has been employed as hemodynamic support in patients with cardiac arrest andhemodynamic shock.Methods: We performed a single-center prospectical study, enrolling all patients at very high-risk forcoronary artery bypass grafting (CABG). Major adverse cardiac and cerebrovascular events (MACCE) weredefined as a composite of death, acute myocardial infarction (MI), stroke and further need forrevascularization.Results: Twelve patients underwent elective high-risk PCI with ECMO support (mean age ¼ 63.5 8.7years). The mean SYNTAX score was 30.1 10.1. All PCI procedures were successful and no in-hospitalMACCE was observed. At 6-months, neither death nor MI was noticed. Two patients (17%) requiredfurther revascularization, and one patient required chronic hemodialysis.Conclusions: Elective high-risk PCI supported by ECMO is a viable alternative for patients who are at veryhigh risk for CABG.