scholarly journals Venoarterial Extracorporeal Membrane Oxygenation for Cardiopulmonary Support

Circulation ◽  
2018 ◽  
Vol 138 (20) ◽  
pp. 2298-2300 ◽  
Author(s):  
Peter Moritz Becher ◽  
Benedikt Schrage ◽  
Christoph R. Sinning ◽  
Bastian Schmack ◽  
Nina Fluschnik ◽  
...  
2019 ◽  
pp. 088506661989454
Author(s):  
Aniket S. Rali ◽  
Jonathan Chandler ◽  
Andrew Sauer ◽  
Michael A. Solomon ◽  
Zubair Shah

Cardiogenic shock (CS) portends an extremely high mortality of nearly 50% during index hospitalization. Prompt diagnoses of CS, its underlying etiology, and efficient implementation of treatment modalities, including mechanical circulatory support (MCS), are critical especially in light of such high predicted mortality. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides the most comprehensive cardiopulmonary support in critically ill patients and hence has seen a steady increase in its utilization over the past decade. Hence, a good understanding of VA-ECMO, its role in treatment of CS, especially when compared with other temporary MCS devices, and its complications are vital for any critical care cardiologist. Our review of VA-ECMO aims to provide the same.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Kenichi Sakakura ◽  
Yusuke Adachi ◽  
Yousuke Taniguchi ◽  
Hiroshi Wada ◽  
Shin-ichi Momomura ◽  
...  

We present a case of a patient who needed rapid switch from intra-aortic balloon pumping (IABP) to percutaneous cardiopulmonary support (PCPS)/venoarterial extracorporeal membrane oxygenation. It is difficult to switch from IABP to PCPS, because 0.035-inch guidewires cannot pass the IABP guidewire lumen (0.025-inch compatible), and the IABP sheath needs to be removed together with the IABP catheter. First, a 0.025-inch guidewire was inserted into the IABP wire lumen, and then the IABP catheter together with the 8 Fr IABP sheath was removed, leaving the 0.025-inch guidewire in place. We used the Perclose ProGlide for safe and rapid exchange of the 0.025-inch guidewire for a 0.035-inch guidewire. This allowed insertion of a PCPS cannula and the prompt initiation of PCPS.


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