Early Experience with a Novel Cannulation Strategy for Left Ventricular Decompression during Nonpostcardiotomy Venoarterial ECMO.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Keenan, JE; Schechter, MA; Bonadonna, DK; Bartz, RR; Milano, CA; Schroder, JN; Daneshmand, MA

Published Date

  • 2016

Published In

Volume / Issue

  • 62 / 3

Start / End Page

  • e30 - e34

PubMed ID

  • 26735555

Electronic International Standard Serial Number (EISSN)

  • 1538-943X

Digital Object Identifier (DOI)

  • 10.1097/MAT.0000000000000333


  • eng

Conference Location

  • United States