2019
DOI: 10.1053/j.jvca.2018.06.025
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Extracorporeal Membrane Oxygenation in Pulmonary Endarterectomy Patients

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Cited by 17 publications
(23 citation statements)
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“…The use of ECMO after PTE has been reported in 9% to 19% of patients, at specialized centers, with in-hospital mortality ranging from 57% to 66% in these patients. 6,10 Venoarterial (VA) ECMO for RV dysfunction in the perioperative period in patients with CTEPH carries several limitations. As a biventricular unloading strategy, VA ECMO limits the ability to assess both left and right ventricular function independent of each other.…”
Section: Discussionmentioning
confidence: 99%
“…The use of ECMO after PTE has been reported in 9% to 19% of patients, at specialized centers, with in-hospital mortality ranging from 57% to 66% in these patients. 6,10 Venoarterial (VA) ECMO for RV dysfunction in the perioperative period in patients with CTEPH carries several limitations. As a biventricular unloading strategy, VA ECMO limits the ability to assess both left and right ventricular function independent of each other.…”
Section: Discussionmentioning
confidence: 99%
“…The vast majority of patients are referred in stable conditions with long-standing symptoms but, in a few cases, such as in acute-on-chronic PE or massive main trunk involvement, patients could rapidly deteriorate with respiratory failure and/or cardiogenic shock due to RV failure: in these cases, PEA should not be further deferred, but ECLS could be the only chance of preoperative stabilization, especially in non-expert centers, allowing urgent PEA as next step [9,12].…”
Section: Perioperative Role and Indications Of Ecls In Peamentioning
confidence: 99%
“…Reperfusion edema occurs in 5-20% of patients, especially in patients with high pre-operative pulmonary pressure (2, 6, 7). When supportive treatment with mechanical ventilation, diuresis and drugs approved for PAH are not enough, ECMO may be indicated (2,8,9). ECMO both intra and post-operative has become standard of care in centers performing high-risk PEA (2, 8, 9).…”
Section: Pulmonary Endarterectomy -An Old Technique Newly Stimulatedmentioning
confidence: 99%