Three-Dimensional Echocardiography–Derived Right Ventricular Ejection Fraction Correlates with Success of Decannulation and Prognosis in Patients Stabilized by Venoarterial Extracorporeal Life Support

Huang, Kuo‐Feng; Lin, Lian‐Yu; Chen, Yih‐Sharng; Lai, Chien-Heng; Hwang, Juey‐Jen; Lin, Lung‐Chun

doi:10.1016/j.echo.2017.09.004

Cited by 65 publications

(67 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Precise RV assessment, except RV dilation, has rarely been investigated. Interestingly, in a recent study assessing 46 patients, successfully weaned patients had smaller RV dimensions, better RVEF, higher RV area change and magnitudes of RV strain (18). The value of tricuspid annular plane systolic excursion and the severity of tricuspid regurgitation did not differ between the two groups.…”

Section: Echo Parametersmentioning

confidence: 88%

“…Few studies aimed at identifying criteria to predict which patients can be successfully weaned from ECMO, using the same methodology ( Table 1) (13)(14)(15)(18)(19)(20). They assessed prospectively and daily clinical, biological and/or echo parameters until death, weaning or bridge to long-term assist-device or heart transplantation.…”

Section: Which Factors Can Help To Predict Successful Weaning From Vamentioning

confidence: 99%

See 1 more Smart Citation

Weaning from veno-arterial extra-corporeal membrane oxygenation: which strategy to use?

Ortuno¹,

Delmas²,

Diehl³

et al. 2019

Ann. Cardiothorac. Surg

View full text Add to dashboard Cite

Refractory cardiogenic shock patients may be rescued by veno-arterial extracorporeal membrane oxygenation (VA ECMO). After a few days of mechanical assistance, the device can sometimes be successfully removed if the patient has partially or fully recovered from the condition that required the use of ECMO. The percentage of patients with refractory cardiogenic shock who are successfully weaned from ECMO varies from 31% to 76%. Weaning does not mean survival, because 20% to 65% of patients weaned from VA ECMO support do not survive to hospital discharge. The high death rate after successful weaning shows that many questions remain unresolved in this field. In this review, we will discuss the various factors influencing survival and a successful weaning from VA ECMO, in addition to weaning approaches proposed in the literature. Based on this information, we will propose a strategy to optimize the weaning process.

show abstract

Section: Echo Parametersmentioning

confidence: 88%

Section: Which Factors Can Help To Predict Successful Weaning From Vamentioning

confidence: 99%

Weaning from veno-arterial extra-corporeal membrane oxygenation: which strategy to use?

Ortuno¹,

Delmas²,

Diehl³

et al. 2019

Ann. Cardiothorac. Surg

View full text Add to dashboard Cite

show abstract

“…Huang et al 43 analyzed 3D datasets of right ventricular function in 46 patients undergoing a VA-ECMO weaning trial, of whom 28 patients were successfully weaned. Right ventricular ejection fraction >24.6% was associated with successful weaning (area under the curve 0.9, p < 0.001), whereas right ventricular ejection fraction 24.6% was associated with increased 30-day all cause mortality (hazard ratio 15.86; 95% CI 3.56-70.73).…”

Section: Echocardiography Assessment Of Left Ventricular Unloadingmentioning

confidence: 99%

Strategies for Left Ventricular Decompression During Venoarterial Extracorporeal Membrane Oxygenation - A Narrative Review

Desai

Hwang

2020

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

“…Given the challenges of accurate assessment of right ventricular function, 3DE volumetric analysis has emerged as a promising tool. Right ventricular ejection fraction over >24.6% as measured by 3DE has been associated with improved 30‐day mortality and a higher likelihood of weaning from ECLS …”

Section: Percutaneous Ventricular Assist Devicesmentioning

confidence: 99%

“…3D images allowed improved characterization of the Impella device, showing contact with the anterior mitral valve leaflet (B), causing significant mitral regurgitation (C). LA, left atrium; LV, left ventricle; MV, mitral valve ventricular ejection fraction over >24.6% as measured by 3DE has been associated with improved 30-day mortality and a higher likelihood of weaning from ECLS 28.…”

mentioning

confidence: 99%

Three‐dimensional echocardiography of mechanical circulatory support devices

2018

View full text Add to dashboard Cite

Two‐dimensional echocardiography is a crucial component for assessing the position and function of mechanical circulatory support devices, but three‐dimensional echocardiography provides additional information to aid in management and may improve accuracy in the assessment of these devices. In this article, we review the utility of three‐dimensional echocardiography of various mechanical circulatory support devices.

show abstract

Three-Dimensional Echocardiography–Derived Right Ventricular Ejection Fraction Correlates with Success of Decannulation and Prognosis in Patients Stabilized by Venoarterial Extracorporeal Life Support

Cited by 65 publications

References 34 publications

Weaning from veno-arterial extra-corporeal membrane oxygenation: which strategy to use?

Weaning from veno-arterial extra-corporeal membrane oxygenation: which strategy to use?

Strategies for Left Ventricular Decompression During Venoarterial Extracorporeal Membrane Oxygenation - A Narrative Review

Three‐dimensional echocardiography of mechanical circulatory support devices

Contact Info

Product

Resources

About