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Early experience with a novel cannulation strategy for left ventricular decompression during nonpostcardiotomy venoarterial ECMO

ASAIO Journal, ISSN: 1538-943X, Vol: 62, Issue: 3, Page: e30-e34
2016
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Article Description

Advances in technology for the delivery of venoarterial extracorporeal membrane oxygenation (VA-ECMO) have allowed for its expanded utilization in the treatment of patients with advanced cardiogenic shock, particularly through the use of peripheral cannulation strategies. However, peripheral VA-ECMO continues to be hampered by several major limitations including inadequate decompression of the left ventricle, lower limb ischemia, and the inability to mobilize patients. Here, we present a case series of three patients who were treated with a hybrid peripheral-central cannulation strategy accompanied by direct decompression of the left ventricle through a right anterior mini-thoracotomy. This novel approach ameliorates several of the current limitations to peripheral VA-ECMO therapy and thereby holds potential for improving outcomes in VA-ECMO patients.

Bibliographic Details

Jeffrey E. Keenan; Matthew A. Schechter; Carmelo A. Milano; Jacob N. Schroder; Mani A. Daneshmand; Desiree K. Bonadonna; Raquel R. Bartz

Ovid Technologies (Wolters Kluwer Health)

Biochemistry, Genetics and Molecular Biology; Chemical Engineering; Materials Science; Engineering

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