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Extracorporeal Membrane Oxygenation (ECMO) Program

Baylor Scott & White Health can provide patients with a extracorporeal membrane oxygenation (ECMO) program at four of our high-volume cardiac centers in the Dallas-Fort Worth Metroplex.

Since 2012, the Rapid ECMO Deployment Team has transported nearly 150 patients with and without a VAD, intra-aortic balloon pump, Impella, nitric oxide, and mechanical ventilation.

Rapid ECMO Deployment Team: 24/7/365

Central Texas Transfer Center 254.724.5827 North Texas Transfer Center 214.820.6444

Baylor University Medical Center - Dallas
3500 Gaston Avenue
Roberts Hospital Fourth Floor ICU
Dallas, TX 75246

Baylor Scott & White The Heart Hospital - Plano
1100 Allied Drive Fifth or Sixth Floor ICU
Plano, TX 75093

Baylor Scott & White All Saints Medical Center - Fort Worth
1400 8th Avenue Building A, Second Floor
CVICU
Fort Worth, TX 76104

Baylor Scott & White Medical Center - Temple
2401 S. 31st Street
Temple, TX 76508

Services

The program provides veno-arterial (VA) and veno-venous (VV) ECMO for patients that are in cardiogenic shock, advanced respiratory failure, or septic shock.

VA ECMO Indications:

  • Post-acute myocardial infarction
  • Post-cardiotomy shock
  • Pulmonary embolus
  • Advanced heart failure as bridge to heart transplant
  • Advanced cardiac mechanical support until bridge to left ventricular assist device (LVAD)

VV ECMO Indications

  • Adult respiratory distress syndrome (ARDS)
  • Pneumonia, viral or bacterial
  • Trauma to heart and lungs
  • Advanced lung disease as bridge to lung transplant

Criteria

Inclusion Criteria*

  • Age 18 – 75
  • Bridge to durable LVAD, heart, or lung transplant
  • Witnessed cardiac/respiratory arrest with adequate CPR in progress <=30 minutes
  • Cardiogenic shock – patient on 2 or more vasoactive drips, urine output<= 30 ml/hr. SVO2 60%.  Lactate >=2mmol/L
  • Respiratory failure – Respiratory Rate ≥ 30. Inspiratory Pressure ≥ 30, FIO2 ≥ 80%.  PEEP .+ cmH2O

Exclusion Criteria*

  • DNR or cancer with predicted survival, 1 year
  • Age ≥ 75 years
  • Evidence of severe neurological injury
  • Unwitnessed cardiac arrest or CPR for >60 minutes
  • Lactate > 16 mmol/L
  • AST or ALT> 2,000 or INR > 4.5
  • Advanced microcirculatory failure with severe mottling or established purpura

*To be used as general guidelines, provider may use discretion for witnessed PEA arrest

Refer a Patient

To refer a patient 24/7, call the ECMO referral center. The on-call physician will be notified.

Central Texas Transfer Center

254.724.5827

North Texas Transfer Center

214.820.6444

Heart and Vascular Care at Baylor Scott & White Health

The cardiologists and cardiac, thoracic and vascular surgeons at Baylor Scott & White Health are recognized as being among the best in the U.S.

View all heart and vascular services