scholarly journals Left ventricular unloading during extracorporeal life support (ECLS) by percutaneous ventricular assist device (PVAD) therapy in patients with severe cardiogenic shock

Resuscitation ◽  
2017 ◽  
Vol 118 ◽  
pp. e77-e78
Author(s):  
Alexander Supady ◽  
Tobias Wengenmayer ◽  
Christoph Bode ◽  
Dawid Staudacher
Keyword(s):  
Cardiogenic Shock ◽  
Ventricular Assist Device ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Severe Cardiogenic Shock

Single arterial access ECMELLA: A new concept and step-by-step procedure

2021 ◽  
Keyword(s):  
Cardiogenic Shock ◽  
New Technologies ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Left Ventricular ◽  
Circulatory Support ◽  
Ventricular Assist ◽  
Arterial Access ◽  
Severe Cardiogenic Shock ◽  
Step Procedure

Therapy for cardiogenic shock using temporary mechanical circulatory support has improved significantly in the last decades, providing patients with new technologies for both acute phase stabilization and bridging to long-term therapies. A combination of a venoarterial extracorporeal life support system and the Impella left ventricular assist device (known as the ECMELLA approach) represents an effective therapy for severe cardiogenic shock that achieves high-flow circulatory support with simultaneous left-ventricular unloading. We present the new ECMELLA 2.0 concept, whereby a single arterial access technique is used to treat severe cardiogenic shock. The goal of this technique is to reduce access-related complications and make a bedside staged weaning from mechanical support possible.

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