PMID: 8959770Nov 1, 1996Paper

Percutaneous venoarterial extracorporeal membrane oxygenation for emergency mechanical circulatory support

Resuscitation
Peter MairD Balogh

Abstract

In this retrospective study we report our initial experience with percutaneous venoarterial extracorporeal membrane oxygenation in the emergency treatment of intractable cardiogenic shock or pulseless electrical activity. Between January 1994 and July 1995, percutaneous venoarterial extracorporeal membrane oxygenation was attempted in seven patients (pulseless electrical activity, five patients; cardiogenic shock, two patients). In two of the seven patients, efforts at arterial cannulation resulted in cannula perforation at the level of the iliac artery. In the remaining five patients, percutaneous venoarterial extracorporeal membrane oxygenation could be established and was maintained for 3-84 h. Major bleeding remained a common complication during extracorporeal membrane oxygenation despite the use of heparin-coated bypass circuits and was responsible for death during extracorporeal membrane oxygenation in one patient. The remaining four patients could be weaned from mechanical circulatory support within 24 h, two after surgical interventions (resection of right atrial tumor, heart transplantation), one after thrombolytic therapy. In one patient, cardiac function recovered spontaneously after 6 h on venoarterial extracorporea...Continue Reading

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Citations

Feb 3, 2011·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Byung Kook LeeIn Seok Jeong
Apr 13, 2001·Acta Anaesthesiologica Scandinavica·P MairR Margreiter
Mar 11, 2003·Critical Care Medicine·Birgit SchwarzKarl H Lindner
Aug 27, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Marilyn C MorrisVinay M Nadkarni
Sep 25, 2009·Artificial Organs·Matthias ArltMichael Hilker
Jun 13, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Naoyoshi AoyamaTohru Izumi
Feb 11, 2014·Journal of Translational Medicine·Ayyaz A AliZiad A Ali
May 3, 2014·Current Opinion in Critical Care·David FagnoulDaniel De Backer
Jun 5, 2014·Medical Engineering & Physics·A Mendoza GarcíaA Knoll
Feb 6, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Corinna Velik-SalchnerPeter Mair
Mar 28, 2006·The Annals of Thoracic Surgery·Karen L BoothPeter C Laussen
Nov 7, 2003·The Annals of Thoracic Surgery·Dietmar FriesChristoph Hörmann
Oct 15, 2013·Seminars in Dialysis·Tripti Singh, Kenneth R Hallows
Jan 16, 2016·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Janis BurnsNicholas A Barrett
Sep 23, 2009·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Marcelo G CardarelliBartley Griffith
Feb 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W VoelckelW Schobersberger
Jan 7, 2010·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Markus KraneRobert Bauernschmitt
Jun 28, 2000·The Medical Journal of Australia·A M RosengartenA M Kelly
Jul 10, 2003·Critical Care Clinics·Marilyn C Morris, Vinay M Nadkarni

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