Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions
Publication date
2019-03
Authors
Donker, D W
Brodie, Daniel
Henriques, José P.S.
Broomé, Michael
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Supervisors
Document Type
Article
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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.
Keywords
cardiogenic shock, cardiovascular modeling, computer simulation, left ventricular unloading, veno-arterial extracorporeal membrane oxygenation (VA ECMO), Extracorporeal Membrane Oxygenation/methods, Heart Ventricles/metabolism, Humans, Shock, Cardiogenic/therapy, Cardiology and Cardiovascular Medicine, Radiology Nuclear Medicine and imaging, Advanced and Specialised Nursing, Safety Research, Review, Research Support, Non-U.S. Gov't, Journal Article
Citation
Donker, D W, Brodie, D, Henriques, J P S & Broomé, M 2019, 'Left ventricular unloading during veno-arterial ECMO : a review of percutaneous and surgical unloading interventions', Perfusion, vol. 34, no. 2, pp. 98-105. https://doi.org/10.1177/0267659118794112