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) |
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Journal | Perfusion (United Kingdom) |
DOIs | |
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
Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock. / Rao, Prashant; Mosier, Jarrod; Malo, Joshua; Dotson, Vicky; Mogan, Christopher; Smith, Richard; Keller, Roy; Slepian, Marvin J; Khalpey, Zain I.
In: Perfusion (United Kingdom), 01.02.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock
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
PY - 2018/2/1
Y1 - 2018/2/1
N2 - 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.
AB - 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.
KW - cardiac arrest
KW - cardiogenic shock
KW - mechanical circulatory support
KW - VA-ECMO
KW - ventricular assist device
UR - http://www.scopus.com/inward/record.url?scp=85042451967&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042451967&partnerID=8YFLogxK
U2 - 10.1177/0267659118761558
DO - 10.1177/0267659118761558
M3 - Article
C2 - 29466925
AN - SCOPUS:85042451967
JO - Perfusion
JF - Perfusion
SN - 0267-6591
ER -