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

doi:10.1177/0267659118761558

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 journal › Article

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 language	English (US)
Journal	Perfusion (United Kingdom)
DOIs	https://doi.org/10.1177/0267659118761558
State	Accepted/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

Cite this

Rao, P., Mosier, J., Malo, J., Dotson, V., Mogan, C., Smith, R., Keller, R., Slepian, M. J., & Khalpey, Z. I. (Accepted/In press). Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock. Perfusion (United Kingdom). https://doi.org/10.1177/0267659118761558

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AU - Rao, Prashant

AU - Mosier, Jarrod

AU - Malo, Joshua

AU - Dotson, Vicky

AU - Mogan, Christopher

AU - Smith, Richard

AU - Keller, Roy

AU - Slepian, Marvin J

AU - Khalpey, Zain I

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10.1177/0267659118761558