Early Experience with a Novel Cannulation Strategy for Left Ventricular Decompression during Nonpostcardiotomy Venoarterial ECMO.
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.
Duke Scholars
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Related Subject Headings
- Thoracotomy
- Shock, Cardiogenic
- Middle Aged
- Male
- Humans
- Heart Ventricles
- Extracorporeal Membrane Oxygenation
- Catheterization
- Biomedical Engineering
- 4003 Biomedical engineering
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Thoracotomy
- Shock, Cardiogenic
- Middle Aged
- Male
- Humans
- Heart Ventricles
- Extracorporeal Membrane Oxygenation
- Catheterization
- Biomedical Engineering
- 4003 Biomedical engineering