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Table 3 Extracorporeal Membrane Oxygenation Among Cardiogenic Shock: Procedures

From: ECMO use and mortality in adult patients with cardiogenic shock: a retrospective observational study in U.S. hospitals

Procedure class for inpatient

Count (N = 992)

Percent (95% CI)

 Minor diagnostic

534

53.8 (47.8–59.7)

 Minor therapeutic

884

89.1 (84.6–92.4)

 Major diagnostic

62

6.2 (3.8–10.1)

 Major therapeutic

992

100

Specific procedures using CCS codes

Count (N = 992)

Percent (95% CI)

 Circulator system procedures

  Extracorporeal circulation auxiliary to open heart proceduresa

992

100

  Other operating room heart proceduresb

510

51.4 (45.3–57.5)

  Diagnostic cardiac catheterization; coronary arteriography

231

23.3 (18.6–28.9)

  Conversion of cardiac rhythm

183

18.4 (14.4–23.3)

  Heart valve procedures

179

18.1 (13.9–23.1)

  Coronary artery bypass graft (CABG)

150

15.1 (11.5–19.6)

  Other non-operating room therapeutic cardiovascular procedures

123

12.4 (9.0–16.9)

  Percutaneous transluminal coronary angioplasty (PTCA)

113

11.4 (8.1–15.8)

  Echocardiogram

107

10.8 (7.6–15.3)

  Swan-Ganz catheterization for monitoring

102

10.2 (7.2–14.4)

  Blood transfusion

220

22.2 (17.9–27.2)

 Respiratory system procedures

  

  Respiratory intubation and mechanical ventilation

562

56.7 (50.5–62.7)

  Other operating room procedures on respiratory system and mediastinum

182

18.4 (14.0–23.7)

  Diagnostic bronchoscopy and biopsy of bronchus

135

13.6 (10.0–18.3)

  Tracheostomy; temporary and permanent

111

11.2 (7.8–15.9)

 Other procedures

  Other operating room proceduresb

365

36.8 (31.1–42.9)

  Other vascular catheterization; not heart

330

33.3 (27.8–39.3)

  Other therapeutic proceduresc

207

20.9 (16.5–26.1)

  1. aThis CCS procedure code also includes ICD-9 procedure code 39.65 for ECMO procedures
  2. bExamples include operations on valves and septa of the heart, heart vessels, and the heart and pericardium
  3. cSpecifically procedures on vessels other than head/neck
  4. dNervous, ophthalmic, gastrointestinal procedures not otherwise specified