2017
DOI: 10.1002/ccd.27428
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Ambulatory central VA‐ECMO with biventricular decompression for acute cardiogenic shock

Abstract: We describe the off-pump insertion of a biventricular assist device with extra-corporeal membrane oxygenation (ECMO): a novel technique that allows for ambulatory central veno-arterial (VA) ECMO with direct biventricular decompression.

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Cited by 15 publications
(11 citation statements)
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“…[2][3][4][5] In patients with acute decompensated chronic cardiac failure or massive myocardial infarction, VA ECMO may be used as a bridge-to-destination therapy, such as a durable ventricular assist device and cardiac transplantation. 6,7 Many patients can be successfully weaned from VA ECMO, after the patient has partially or fully recovered from the condition that necessitated the use of the device. However, to date, only a few or limited number of studies have reported strategies for weaning from VA ECMO.…”
Section: Introductionmentioning
confidence: 99%
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“…[2][3][4][5] In patients with acute decompensated chronic cardiac failure or massive myocardial infarction, VA ECMO may be used as a bridge-to-destination therapy, such as a durable ventricular assist device and cardiac transplantation. 6,7 Many patients can be successfully weaned from VA ECMO, after the patient has partially or fully recovered from the condition that necessitated the use of the device. However, to date, only a few or limited number of studies have reported strategies for weaning from VA ECMO.…”
Section: Introductionmentioning
confidence: 99%
“…25 In patients with acute decompensated chronic cardiac failure or massive myocardial infarction, VA ECMO may be used as a bridge-to-destination therapy, such as a durable ventricular assist device and cardiac transplantation. 6,7…”
Section: Introductionmentioning
confidence: 99%
“…Some case reports describe a central arterial cannulation technique via the left ventricle transapical root or directly in the ascending aorta without any complications. 30,31 Most of these patients are candidates for cardiac transplantation. Another alternative is through the subclavian artery combined with jugular venous access.…”
Section: Discussionmentioning
confidence: 99%
“…5,6 A similar technique for left ventricular support as a bridge to clinical decision utilizing the transapical cannulation for patients with cardiogenic shock has been described. 7,8 We present a description of our surgical technique and our institution's experience with the use of transapical left ventricular cannulation with a dual lumen cannula for left ventricle support in the management of cardiogenic shock as a bridge to myocardial recovery or definitive decision.…”
mentioning
confidence: 99%