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 › peer-review

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

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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10.1177/0267659118761558

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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.",

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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

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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

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