Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock and Cardiac Arrest

Prashant Rao, Zain I Khalpey, Richard Smith, Daniel Burkhoff, Robb D. Kociol

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Venoarterial extracorporeal membrane oxygenation (VA-ECMO)-also referred to as extracorporeal life support-is a form of temporary mechanical circulatory support and simultaneous extracorporeal gas exchange. The initiation of VA-ECMO has emerged as a salvage intervention in patients with cardiogenic shock, even cardiac arrest refractory to standard therapies. Analogous to veno-venous ECMO for acute respiratory failure, VA-ECMO provides circulatory support and allows time for other treatments to promote recovery or may be a bridge to a more durable mechanical solution in the setting of acute or acute on chronic cardiopulmonary failure. In this review, we provide a brief overview of VA-ECMO, the attendant physiological considerations of peripheral VA-ECMO, and its complications, namely that of left ventricular distention, bleeding, heightened systemic inflammatory response syndrome, thrombosis and thromboembolism, and extremity ischemia or necrosis.

Original languageEnglish (US)
Pages (from-to)e004905
JournalCirculation. Heart failure
Volume11
Issue number9
DOIs
StatePublished - Sep 1 2018

Keywords

  • extracorporeal membrane oxygenation
  • heart arrest
  • hemorrhage
  • shock, cardiogenic
  • thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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