Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock

Perfusion
Prashant RaoZain Khalpey

Abstract

Cardiogenic shock and cardiac arrest are life-threatening emergencies that result in high mortality rates. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) via peripheral cannulation is an option for patients who do not respond to conventional therapies. Left ventricular (LV) distention is a major limitation with peripheral VA-ECMO and is thought to contribute to poor recovery and the inability to wean off VA-ECMO. We report on a novel technique that combines peripheral VA-ECMO with off-pump insertion of a trans-apical LV venting cannula and a right ventricular decompression cannula.

Associated Clinical Trials

References

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Citations

Oct 26, 2018·Circulation. Heart Failure·Prashant RaoRobb D Kociol
Apr 4, 2021·Membranes·Juan Pablo Ricarte BrattiYoan Lamarche
Jun 1, 2021·European Heart Journal. Acute Cardiovascular Care·Alaide ChieffoSusanna Price
Jun 1, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alaide ChieffoSusanna Price

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