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

5 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

Access to Document

10.1177/0267659118761558

Fingerprint Dive into the research topics of 'Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock'. Together they form a unique fingerprint.

Cite this

@article{2ba0ed4c9284450ab4076ca5212f076f,

title = "Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock",

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.",

keywords = "cardiac arrest, cardiogenic shock, mechanical circulatory support, VA-ECMO, ventricular assist device",

author = "Prashant Rao and Jarrod Mosier and Joshua Malo and Vicky Dotson and Christopher Mogan and Richard Smith and Roy Keller and Slepian, {Marvin J} and Khalpey, {Zain I}",

year = "2018",

month = feb,

day = "1",

doi = "10.1177/0267659118761558",

language = "English (US)",

journal = "Perfusion",

issn = "0267-6591",

publisher = "SAGE Publications Ltd",

}

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 -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Cite this