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- Title
Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions.
- Authors
Donker, Dirk W.; Brodie, Daniel; Henriques, José P. S.; Broomé, Michael
- Abstract
Short-term mechanical support by veno-arterial extracorporeal membrane oxygenation (VA ECMO) is more and more applied in patients with severe cardiogenic shock. A major shortcoming of VA ECMO is its variable, but inherent increase of left ventricular (LV) mechanical load, which may aggravate pulmonary edema and hamper cardiac recovery. In order to mitigate these negative sequelae of VA ECMO, different adjunct LV unloading interventions have gained a broad interest in recent years. Here, we review the whole spectrum of percutaneous and surgical techniques combined with VA ECMO reported to date.
- Subjects
AORTA surgery; CARDIOGENIC shock; PULMONARY edema; LEFT heart ventricle surgery; PULMONARY artery; HEART septum; LEFT heart atrium; CARDIAC catheterization; CARDIAC output; EXTRACORPOREAL membrane oxygenation; LEFT heart ventricle; CARDIAC surgery; HEART ventricles; INTRA-aortic balloon counterpulsation; DECISION making in clinical medicine; HEART assist devices; VASCULAR remodeling; PERCUTANEOUS coronary intervention; SURGERY; THERAPEUTICS; DISEASE risk factors
- Publication
Perfusion, 2019, Vol 34, Issue 2, p98
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/0267659118794112