Extracorporeal life support in cardiogenic shock: Indications and management in current practice
Publication date
2018-02-01
Authors
Meuwese, C L
Ramjankhan, F. Z.
Braithwaite, S. A.
de Jonge, Nicolaas
De Jong, M.
Buijsrogge, Marc P
Janssen, Joep
Klöpping, C.
Kirkels, J. H.
Donker, D W
Editors
Advisors
Supervisors
Document Type
Article
Metadata
Show full item recordCollections
License
Abstract
Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal management of the individual patient on extracorporeal support given its inherent complexity. In this review article we will discuss indications, daily clinical management and complications of VA-ECLS in cardiogenic shock refractory to conventional treatment strategies.
Keywords
Cardiogenic shock, Extracorporeal life support (ECLS), Extracorporeal membrane oxygenation (ECMO), Short-term cardiac mechanical support, Cardiology and Cardiovascular Medicine
Citation
Meuwese, C L, Ramjankhan, F Z, Braithwaite, S A, De Jonge, N, De Jong, M, Buijsrogge, M P, Janssen, J G D, Klöpping, C, Kirkels, J H & Donker, D W 2018, 'Extracorporeal life support in cardiogenic shock : Indications and management in current practice', Netherlands Heart Journal, vol. 26, no. 2, pp. 58-66. https://doi.org/10.1007/s12471-018-1073-9