ECMO is briefly covered in a short summary elsewhere on this site. One of these days, a more detailed exploration of this fascinating modality will become available. In the meantime, an excellent troubleshooting guide is offered by LITFL, and brilliant videos accompany a practical guide based at the venerable 0
Consequences of Inadequate LV Unloading During VA -ECMO: ... complications that are comparable to surgical LV vent. Ann Thorac Surg 2017;104:861–7) Other Devices: •Impella •Tandem Heart •Centrimag: ... Temporary Left Ventricular Assist Device Through an Axillary Access is a
The indication to vent the LV was seen in 34 patients (21%) without describing a clear indication to vent the LV. Notably, Pappalardo et al. describe a significant survival benefit for patients who were vented with the IMPELLA on ECMO after applying a propensity score matching analysis.
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an important modality of managing post-cardiotomy cardiogenic shock with variable outcomes which would otherwise be universally fatal. VA-ECMO is considered as a double-edged sword with the advantages of luxurious perfusion while providing an avenue for the failing heart to recover ...
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