Prophylactic ECMO Support during Elective Coronary Percutaneous Interventions in High-Risk Patients: A Single-Center Experience.
Claudiu Mihnea UngureanuMarc BlaimontHugues TrinePierre HeninRomain CourcelleYves LaurentPatrick Van RuysseveltCaroline LepièceVincent HuberlantPublished in: Journal of interventional cardiology (2023)
Prophylactic use of VA-ECMO in elective patients is an acceptable strategy for revascularization by high-risk coronary percutaneous interventions with good long-term outcomes for patients considered inoperable when a clear clinical benefit is expected. Regarding the potential risk of complications due to a VA-ECMO system, the selection of candidates in our series was based on a multiparameter analysis. The two main triggers in favor of prophylactic VA-ECMO in our studies were the presence of a recent heart failure episode and the high probability of periprocedural prolonged impairment of the coronary flow through the major epicardial artery.
Keyphrases
- end stage renal disease
- heart failure
- ejection fraction
- coronary artery disease
- chronic kidney disease
- extracorporeal membrane oxygenation
- newly diagnosed
- prognostic factors
- peritoneal dialysis
- physical activity
- squamous cell carcinoma
- atrial fibrillation
- radiation therapy
- acute coronary syndrome
- minimally invasive
- coronary artery bypass grafting
- venous thromboembolism
- mechanical ventilation