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

Prashant Rao, Jarrod Mosier, Joshua Malo, Vicky Dotson, Christopher Mogan, Richard Smith, Roy Keller, Marvin J Slepian, Zain I Khalpey

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
JournalPerfusion (United Kingdom)
DOIs
StateAccepted/In press - Feb 1 2018

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Keywords

  • cardiac arrest
  • cardiogenic shock
  • mechanical circulatory support
  • VA-ECMO
  • ventricular assist device

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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