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

2 Citations (Scopus)

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

Fingerprint

Extracorporeal Membrane Oxygenation
Oxygenation
Cardiogenic Shock
Decompression
Refractory materials
mortality
Membranes
Heart Arrest
Catheterization
Emergencies
Pumps
Recovery
Mortality
Cannula
Therapeutics

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

Rao, P, Mosier, J, Malo, J, Dotson, V, Mogan, C, Smith, R, Keller, R, Slepian, MJ & Khalpey, ZI 2018, 'Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock', Perfusion (United Kingdom). https://doi.org/10.1177/0267659118761558
Rao P, Mosier J, Malo J, Dotson V, Mogan C, Smith R et al. Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock. Perfusion (United Kingdom). 2018 Feb 1. https://doi.org/10.1177/0267659118761558
Rao, Prashant ; Mosier, Jarrod ; Malo, Joshua ; Dotson, Vicky ; Mogan, Christopher ; Smith, Richard ; Keller, Roy ; Slepian, Marvin J ; Khalpey, Zain I. / Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock. In: Perfusion (United Kingdom). 2018.
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AU - Mogan, Christopher

AU - Smith, Richard

AU - Keller, Roy

AU - Slepian, Marvin J

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