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Erschienen in: Die Kardiologie 6/2021

21.10.2021 | Kardiomyopathie | Leitlinien

Einsatz der extrakorporalen Zirkulation (ECLS/ECMO) bei Herz- und Kreislaufversagen

Kurzversion der AWMF-S3-Leitlinie

verfasst von: Prof. Dr. Udo Boeken, Stephan Ensminger, Alexander Assmann, Christof Schmid, Karl Werdan, Guido Michels, Oliver Miera, Florian Schmidt, Stefan Klotz, Christoph Starck, Kevin Pilarczyk, Ardawan Rastan, Marion Burckhardt, Monika Nothacker, Ralf Muellenbach, York Zausig, Nils Haake, Heinrich Groesdonk, Markus Ferrari, Michael Buerke, Marcus Hennersdorf, Mark Rosenberg, Thomas Schaible, Harald Köditz, Stefan Kluge, Uwe Janssens, Matthias Lubnow, Andreas Flemmer, Susanne Herber-Jonat, Lucas Wessel, Dirk Buchwald, Sven Maier, Lars Krüger, Andreas Fründ, Rolf Jaksties, Stefan Fischer, Karsten Wiebe, Christiane Hartog, Omer Dzemali, Daniel Zimpfer, Elfriede Ruttmann-Ulmer, Christian Schlensak, Malte Kelm, Andreas Beckmann

Erschienen in: Die Kardiologie | Ausgabe 6/2021

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Zusammenfassung

Seit einigen Jahren ist eine stetige Zunahme des Einsatzes von mechanischen extrakorporalen Herz-Kreislauf- und Lungenunterstützungssystemen (ECLS/ECMO) zu verzeichnen. So wurden seit 2015 in Deutschland jährlich bei etwa 3000 Patienten ECLS/ECMO-Systeme implantiert. Trotz dieser häufigen Anwendung der passageren Unterstützungssysteme existieren zurzeit national und international nur Leitlinien zum Einsatz der ECMO/ECLS, die erkrankungsbezogene Teilaspekte komplexer Therapiekaskaden adressieren. Vor diesem Hintergrund erschien es notwendig, evidenzbasierte Empfehlungen zur ECLS/ECMO-Therapie im Hinblick auf Indikationen und das komplexe Patientenmanagement zu verfassen, in denen personelle, prozessuale und infrastrukturelle Anforderungen definiert werden. Aus diesem Grund erfolgte im Juli 2015 durch die Deutsche Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie (DGTHG) die Anmeldung einer diesbezüglichen S3-Leitlinie bei der zuständigen Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. (AWMF). Im Mittelpunkt der Leitlinie steht die klinische Anwendung der ECLS/ECMO-Therapie; ergänzend werden auch strukturelle und ökonomische Aspekte adressiert. Unter Federführung der DGTHG wurde mit Einbindung von Experten aus Deutschland, Österreich und der Schweiz, delegiert aus 11 AWMF-Fachgesellschaften, 5 weiteren Fachgesellschaften sowie der Patientenvertretung, die S3-Leitlinie im Februar 2021 publiziert. Dieser Artikel stellt eine kurze Zusammenfassung des methodischen Konzepts sowie aller konsentierten Empfehlungen für jede bearbeitete Fragestellung der Leitlinie dar.
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Metadaten
Titel
Einsatz der extrakorporalen Zirkulation (ECLS/ECMO) bei Herz- und Kreislaufversagen
Kurzversion der AWMF-S3-Leitlinie
verfasst von
Prof. Dr. Udo Boeken
Stephan Ensminger
Alexander Assmann
Christof Schmid
Karl Werdan
Guido Michels
Oliver Miera
Florian Schmidt
Stefan Klotz
Christoph Starck
Kevin Pilarczyk
Ardawan Rastan
Marion Burckhardt
Monika Nothacker
Ralf Muellenbach
York Zausig
Nils Haake
Heinrich Groesdonk
Markus Ferrari
Michael Buerke
Marcus Hennersdorf
Mark Rosenberg
Thomas Schaible
Harald Köditz
Stefan Kluge
Uwe Janssens
Matthias Lubnow
Andreas Flemmer
Susanne Herber-Jonat
Lucas Wessel
Dirk Buchwald
Sven Maier
Lars Krüger
Andreas Fründ
Rolf Jaksties
Stefan Fischer
Karsten Wiebe
Christiane Hartog
Omer Dzemali
Daniel Zimpfer
Elfriede Ruttmann-Ulmer
Christian Schlensak
Malte Kelm
Andreas Beckmann
Publikationsdatum
21.10.2021
Verlag
Springer Medizin
Erschienen in
Die Kardiologie / Ausgabe 6/2021
Print ISSN: 2731-7129
Elektronische ISSN: 2731-7137
DOI
https://doi.org/10.1007/s12181-021-00514-4

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