The left ventricle can be vented directly by placing a transaortic vent through the axillary artery or by echocardiography-guided insertion of a pigtail catheter into the left ventricle through the aortic valve and connected to the inflow part of the ECMO circuit .
Feb 10, 2016 · Before ECMO, the median mean arterial pressure (MAP) was 40 mmHg (interquartile range (IQR) 33–46), the median arterial lactate level was 7.8 mmol/L (IQR 6.3–16.3), and the median left ventricular ejection fraction was 42.5 % (IQR 23.5–50.0). Despite adequate fluid and vasopressor therapy, refractory shock proceeded.
Left ventricular (LV) distension and pulmonary oedema are common complications associated with Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) support. From this case, we demonstrate a successful percutaneous technique to decompress the LV with a retrogradely placed pigtail catheter into the LV cavity, which aspirates blood into the ...
Mar 27, 2020 · a. CBC, BMP, Ca, Mg, PO4, ABG (patient and ECMO) b. LFTs & lactate prn 8. LV distension/pulmonary edema strategy a. Daily TTE, PA cath with PCWP b. Pharmacologic measures: Inotropes, vasodilators lv vent in ecmo c. Mechanical unloading of LV (IABP, Impella, LV vent) 9. RV failure strategy a.
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