Early experiences with miniaturized extracorporeal life-support in the catheterization laboratory

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Matthias ArltMichael Hilker

Abstract

Cardiocirculatory arrest during different types of interventions in the catheterization laboratory (cath-lab) requires mechanical cardiopulmonary resuscitation (CPR) to restore spontaneous circulation. However, mechanical chest compression leads to interruption of the procedure and can severely compromise the success of the percutaneous coronary intervention (PCI) or transcatheter aortic valve implantation (TAVI). Alternatives to mechanical chest compression are rare and mostly uncommon. The use of extracorporeal assistance for cardiopulmonary resuscitation (E-CPR) can be life-saving, but, up to now, it is not commonly and rapidly available in hospitals with cardiac-catheter laboratories but without cardiac-surgery departments. Here, we report our early experiences in using miniaturized extracorporeal membrane oxygenation (ECMO) systems for E-CPR in the cath-lab. We characterize the emergency uses and the bridging function of these simplified ECMO devices. Patients who developed cardiocirculatory arrest during PCI and TAVI procedures were treated with E-CPR using percutaneous veno-arterial extracorporeal life-support. To provide extracorporeal life-support, we used two types of miniaturized ECMO systems that can act independent...Continue Reading

References

Sep 23, 2008·Intensive Care Medicine·Claas T Buschmann, Michael Tsokos
Apr 18, 2009·Anesthesia and Analgesia·Frederic T BillingsJack S Shanewise
Oct 26, 2010·The Annals of Thoracic Surgery·Jörg KempfertThomas Walther
Dec 28, 2010·The American Journal of Cardiology·Dion StubDavid M Kaye
Jan 22, 2011·JACC. Cardiovascular Interventions·Sukesh C BurjonroppaKendrick A Shunk
Feb 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Matthias ArltMichael Hilker
Mar 23, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jörg KempfertThomas Walther
Apr 6, 2011·Circulation·Dion StubDavid M Kaye
Jun 21, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Andreas BeckmannUNKNOWN ECLS Working Group

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Citations

Sep 10, 2013·European Heart Journal·Karl WerdanJudith S Hochman
Jul 22, 2014·American Journal of Respiratory and Critical Care Medicine·Corey E Ventetuolo, Christopher S Muratore
Mar 20, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Lionel LerouxSusanna Price
Feb 24, 2015·JACC. Cardiovascular Interventions·Aung MyatDeepak L Bhatt
Apr 12, 2013·Anaesthesia·A A Klein, C R Bailey
Apr 29, 2015·Heart & Lung : the Journal of Critical Care·Salvatore Davide TomaselloLeonid Barbarash
Jul 28, 2016·Expert Review of Cardiovascular Therapy·John R SprattRanjit John
Dec 22, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Tomaz GoslarMarko Noc
Sep 6, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Christopher J ParrKunal Minhas
Dec 7, 2016·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Margaux PontaillerPascal Leprince
Mar 29, 2021·Resuscitation·Carsten LottUNKNOWN ERC Special Circumstances Writing Group Collaborators
Jun 16, 2021·Notfall & Rettungsmedizin·Carsten LottJasmeet Soar

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