354: Mechanical Circulatory Support for the Treatment of Cardiogenic Shock in Children and Adolescents with Acute Fulminant Myocarditis

2008 ◽  
Vol 27 (2) ◽  
pp. S189
Author(s):  
S. Buz ◽  
Y. Weng ◽  
M. Huebler ◽  
T. Drews ◽  
C. Knosalla ◽  
...  
Keyword(s):  
Cardiogenic Shock ◽  
Children And Adolescents ◽  
Mechanical Circulatory Support ◽  
Fulminant Myocarditis ◽  
Circulatory Support

A therapeutic concept to resolve a possible coronary desaturation under Ecpella support and maximize the potential for myocardial recovery: combination of veno-arteriovenous extracorporeal membrane oxygenation and Impella (VAVEcpella)

Perfusion ◽  
2020 ◽  
pp. 026765912095654
Author(s):  
Tomoki Ushijima ◽  
Hiromichi Sonoda ◽  
Yoshihisa Tanoue ◽  
Akira Shiose
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Fulminant Myocarditis ◽  
Circulatory Support ◽  
Therapeutic Concept ◽  
Membrane Oxygenation ◽  
Lung Dysfunction ◽  
Normal Cardiac Function ◽  
Severe Lung

Introduction: Ecpella, a combination of veno-arterial (V-A) extracorporeal membrane oxygenation (ECMO) and Impella, may result in the differential hypoxia in patients with cardiogenic shock and severe lung dysfunction. Here, we report a solution of this Ecpella-induced unfavorable phenomenon. Case report: A 70-year-old man developed cardiogenic shock from fulminant myocarditis. As we established Ecpella but immediately significant differential hypoxia became apparent, the ECMO configuration was switched from V-A to veno-arteriovenous (V-AV): a combination of V-AV ECMO and Impella, newly termed VAVEcpella, was instituted. The differential hypoxia resolved, and he was successfully weaned from mechanical circulatory support. Discussion and conclusion: VAVEcpella is an effective configuration to resolve Ecpella-induced differential hypoxia and may contribute to restoration of normal cardiac function.

Acute Mechanical Circulatory Support for Fulminant Myocarditis Complicated by Cardiogenic Shock

2014 ◽  
Vol 7 (2) ◽  
pp. 156-164 ◽  
Author(s):  
Kanika P. Mody ◽  
Hiroo Takayama ◽  
Elissa Landes ◽  
Melana Yuzefpolskaya ◽  
Paolo C. Colombo ◽  
...  
Keyword(s):  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Fulminant Myocarditis ◽  
Circulatory Support ◽  
Acute Mechanical Circulatory Support
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