Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock.
Prashant RaoJarrod MosierJoshua MaloVicky DotsonChristopher MoganRichard SmithRoy KellerMarvin SlepianZain KhalpeyPublished in: Perfusion (2018)
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.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- respiratory failure
- cardiac arrest
- chemotherapy induced
- left ventricular
- heart failure
- cardiopulmonary resuscitation
- cardiovascular disease
- atrial fibrillation
- obstructive sleep apnea
- hypertrophic cardiomyopathy
- positive airway pressure
- ejection fraction