Percutaneous left ventricular unloading of veno-arterial extracorporeal membrane oxygenation with the atrial flow regulator.
Yassine BenseghirMatteo PozziJean François ObadiaGilles RioufolPublished in: Journal of cardiac surgery (2022)
The use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has increased exponentially. Pulmonary congestion is a potentially life-threatening complication of peripheral VA-ECMO. Recently updated guidelines argue for a low threshold of left ventricular (LV) unloading. Although the optimal method of LV unloading is still a matter of debate, the percutaneous approaches became an increasingly used option over time. Here, we present a case of LV unloading with the Atrial Flow Regulator (Occlutech) in a patient supported with peripheral VA-ECMO.
Keyphrases
- extracorporeal membrane oxygenation
- left ventricular
- acute respiratory distress syndrome
- left atrial
- respiratory failure
- atrial fibrillation
- heart failure
- minimally invasive
- hypertrophic cardiomyopathy
- transcription factor
- ultrasound guided
- acute myocardial infarction
- mitral valve
- cardiac resynchronization therapy
- aortic stenosis
- pulmonary hypertension
- mechanical ventilation
- radiofrequency ablation
- chemotherapy induced
- intensive care unit
- coronary artery disease
- transcatheter aortic valve replacement
- aortic valve