Journal ArticleDOI
First experiences with a combined usage of veno-arterial and veno-venous ECMO in therapy-refractory cardiogenic shock patients with cerebral hypoxemia
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TLDR
The veno-veno-arterial ECMO setup is described in full detail and different venous cannulas are discussed and a remarkable improvement of all oxygenation parameters is achieved.Abstract:
The use of extracorporeal membrane oxygenation (ECMO) is becoming a popular tool in the treatment of cardiogenic shock. We present two case reports where classical veno-arterial peripherally cannulated ECMO therapy proved insufficient with profuse cerebral hypoxemia. After augmenting the setting into veno-veno-arterial ECMO, we achieved a remarkable improvement of all oxygenation parameters. The simultaneous use of veno-venous and veno-arterial ECMO might display as a novel strategy to counteract the coronary and cerebral hypoxemia in veno-arterial ECMO therapy in patients with therapy-refractory cardiogenic shock or in combined cardiopulmonary failure. In this manuscript, the veno-veno-arterial ECMO setup is described in full detail and different venous cannulas are discussed.read more
Citations
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Journal ArticleDOI
Cannulation strategies for percutaneous extracorporeal membrane oxygenation in adults
L. Christian Napp,Christian Kühn,Marius M. Hoeper,Jens Vogel-Claussen,Axel Haverich,Andreas Schäfer,Johann Bauersachs +6 more
TL;DR: A nomenclature which uses “A” and all following letters for supplying cannulas and all letters before ‘A’ for draining cannulas is proposed, which covers both dual and triple ECMO cannulation strategies (VV, VA, VVA, VAV).
Journal ArticleDOI
Neurologic Complications of Extracorporeal Membrane Oxygenation: A Review
TL;DR: ECMO can be lifesaving and is being used increasingly for severe respiratory and/or cardiac failure, however, it remains associated with significant neurologic morbidity and mortality.
Journal ArticleDOI
Veno-veno-arterial extracorporeal membrane oxygenation for respiratory failure with severe haemodynamic impairment: technique and early outcomes
Fabio Ius,Wiebke Sommer,Igor Tudorache,Murat Avsar,Thierry Siemeni,Jawad Salman,J. Puntigam,Joerg Optenhoefel,Mark Greer,Tobias Welte,Olaf Wiesner,Axel Haverich,Marius M. Hoeper,Christian Kuehn,Gregor Warnecke +14 more
TL;DR: Veno-veno-arterial ECMO is a technically feasible rescue strategy in treating patients presenting with combined respiratory and haemodynamic failure and can be bridged to recovery and to lung transplantation.
Journal ArticleDOI
Veno-venous extracorporeal membrane oxygenation: cannulation techniques
Carlo Banfi,Matteo Pozzi,Nils Siegenthaler,Marie-Eve Brunner,Didier Tassaux,Jean-François Obadia,Karim Bendjelid,Raphaël Giraud +7 more
TL;DR: The authors focus on the indications for VV-ECMO, patient assessment prior to cannulation, the role of ultrasound-guided vessel puncture, double lumen single bicaval cannulations, and finally triple cannulation in VV -ECMO.
Journal ArticleDOI
Controlled flow diversion in hybrid venoarterial-venous extracorporeal membrane oxygenation.
Mehmet Cakici,Fatih Gümüş,Evren Ozcinar,Çağdaş Baran,Onat Bermede,Mustafa Inan,Mustafa Serkan Durdu,Mustafa Şirlak,Ahmet Rüçhan Akar +8 more
TL;DR: Non-invasive monitoring of flow rates within the supplying cannulae of VAV-ECMO and the use of partial occlusion for venous-supplying cannula enable individualized patient management and effective weaning from VAV -ECMO.
References
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TL;DR: Alice K. Jacobs, MD, FACC, FAHA, Chair Jeffrey L. Anderson, PhD, CCNS, CCRN, FAH, Chair-Elect - The first female FACC-FAHA board member to be elected in the history of the sport.
Journal ArticleDOI
2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention
Glenn N. Levine,Eric R. Bates,James C. Blankenship,Steven R. Bailey,John A. Bittl,Bojan Cercek,Charles E. Chambers,Stephen G. Ellis,Robert A. Guyton,Steven M. Hollenberg,Umesh N. Khot,Richard A. Lange,Laura Mauri,Roxana Mehran,Issam Moussa,Debabrata Mukherjee,Brahmajee K. Nallamothu,Henry H. Ting,Alice K. Jacobs,Jeffrey L. Anderson,Nancy M. Albert,Mark A. Creager,Steven M. Ettinger,Jonathan L. Halperin,Judith S. Hochman,Frederick G. Kushner,E. Magnus Ohman,William G. Stevenson,Clyde W. Yancy +28 more
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Journal ArticleDOI
Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Js. Hochman,La. Sleeper,John G. Webb,Timothy A. Sanborn,Harvey D. White,JD Talley,Christopher E. Buller,Alice K. Jacobs,James Slater,Jacques Col,Sonja M. McKinlay,Thierry H. LeJemtel +11 more
TL;DR: In patients with cardiogenic shock, emergency revascularization did not significantly reduce overall mortality at 30 days, but after six months there was a significant survival benefit, and earlyRevascularization should be strongly considered for patients with acute myocardial infarction complicated by cardiogenesis.
Journal ArticleDOI
Intraaortic Balloon Support for Myocardial Infarction with Cardiogenic Shock
Holger Thiele,Uwe Zeymer,Franz-Josef Neumann,Miroslaw Ferenc,Hans-Georg Olbrich,Jörg Hausleiter,Gert Richardt,Marcus Hennersdorf,Klaus Empen,Georg Fuernau,Steffen Desch,Ingo Eitel,Rainer Hambrecht,Jörg Fuhrmann,Michael Böhm,Henning Ebelt,Steffen Schneider,Gerhard Schuler,Karl Werdan +18 more
TL;DR: The use of intraaortic balloon counterpulsation did not significantly reduce 30-day mortality in patients with cardiogenic shock complicating acute myocardial infarction for whom an early revascularization strategy was planned.