Korean J Crit Care Med.  2014 Aug;29(3):194-196. 10.4266/kjccm.2014.29.3.194.

Use of Extracorporeal Membrane Oxygenation for Optimal Organ Donation

• Yang JH
• Cho YH
• Chung CR
• Jeon K
• Park CM
• Suh GY

• KMID: 1892251
• DOI: http://doi.org/10.4266/kjccm.2014.29.3.194

Abstract

We report a case of extracorporeal membrane oxygenation (ECMO) support for donor organ preservation in a brain-dead patient following out-of-hospital cardiac arrest. A 43-year-old male patient was referred to the emergency department after an out-of-hospital cardiac arrest caused by ventricular fibrillation. Spontaneous circulation was restored after 8 minutes of cardiopulmonary resuscitation. ECMO was implemented because of hemodynamic deterioration. The patient then underwent coronary angiography and was implanted with a drug-eluting stent because of occlusion at the proximal portion of the right coronary artery. After 144 hours, brain death was established, and ECMO support for optimal oxygen delivery was sustained until organ retrieval after consent for donation was received from the family. Liver and kidneys were successfully transplanted to three recipients, respectively.

Keyword

brain death; extracorporeal membrane oxygenation

MeSH Terms

Adult
Brain Death
Cardiopulmonary Resuscitation
Coronary Angiography
Coronary Vessels
Drug-Eluting Stents
Emergency Service, Hospital
Extracorporeal Membrane Oxygenation*
Hemodynamics
Humans
Kidney
Liver
Male
Organ Preservation
Out-of-Hospital Cardiac Arrest
Oxygen
Tissue and Organ Harvesting
Tissue and Organ Procurement*
Tissue Donors
Ventricular Fibrillation
Oxygen