Cardiogenic Shock
Conditions
Brief summary
The Oxiris membrane is an AN-69 membrane whose surface is treated with polyethyleneimine (PEI) grafted with heparin. This property allows the removal of lipopolysaccharide and cytokines from the blood. During septic shock, this membrane has shown its effectiveness and made it possible to decrease the doses of vasopressors administered, thus limiting the negative consequences of their use (low mesenteric flow in particular). Moreover, the literature suggests that the use of the Oxiris membrane does not lead to side effects or specific and serious complications, in comparison with conventional extra-renal purification membranes. To our knowledge (Pubmed, clinicaltrial) there are no data in patients in cardiogenic shock assisted by ECLS. The research hypothesis is that the early addition of an Oxiris membrane to the ECLS circuit allows the removal of lipopolysaccharides and pro-inflammatory cytokines, thus controlling the inflammatory cascade and limiting vasoplegia and organ failure.
Interventions
Hemofiltration treatment with Oxiris membrane connected to the ECLS circuit for 24 hours.
Treatment by hemofiltration with PrismaFlex ST150 membrane connected to the ECLS circuit for 24 hours.
Blood tests before and just after membrane placement and at H6, H24, H48 and H72 after membrane placement
Sponsors
Study design
Eligibility
Inclusion criteria
* Trusted person or relative who has given oral consent or emergency consent * Person of legal age * Patient receiving ECLS for refractory cardiogenic shock requiring continuous renal replacement therapy * Included within 12 hours of ECLS initiation
Exclusion criteria
* Person not affiliated to national health insurance * Person under legal protection (curatorship, guardianship) * Person under court order * Pregnant or breastfeeding woman * Minor * Severe hemorrhage under ECLS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Plasma concentration of lipopolysaccharides | 24 hours after addition of the membrane |
Countries
France