2020 EACTS/ELSO/STS/AATS Expert Consensus on Post-cardiotomy Extracorporeal Life Support in Adult Patients

Roberto Lorusso*, Glenn Whitman, Milan Milojevic, Giuseppe Raffa, David M. McMullan, Udo Boeken, Jonathan Haft, Christian A. Bermudez, Ashish S. Shah, David A. D'Alessandro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)


Post-cardiotomy extracorporeal life support (PC-ECLS) in adult patients has been used only rarely but recent data have shown a remarkable increase in its use, almost certainly due to improved technology, ease of management, growing familiarity with its capability and decreased costs. Trends in worldwide in-hospital survival, however, rather than improving, have shown a decline in some experiences, likely due to increased use in more complex, critically ill patients rather than to suboptimal management. Nevertheless, PC-ECLS is proving to be a valuable resource for temporary cardiocirculatory and respiratory support in patients who would otherwise most likely die. Because a comprehensive review of PC-ECLS might be of use for the practitioner, and possibly improve patient management in this setting, the authors have attempted to create a concise, comprehensive and relevant analysis of all aspects related to PC-ECLS, with a particular emphasis on indications, technique, management and avoidance of complications, appraisal of new approaches and ethics, education and training.

Original languageEnglish
Pages (from-to)E1-E43
JournalASAIO Journal
Issue number1
Publication statusPublished - 1 Jan 2021

Bibliographical note

This article was produced by and is under the sole responsibility of the EACTS, the ELSO, the STS and the AATS.

Publisher Copyright: © 2021 Lippincott Williams and Wilkins. All rights reserved.


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