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Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions
Univ Utrecht, Dept Intens Care Med, Univ Med Ctr Utrecht, Utrecht, Netherlands..ORCID iD: 0000-0001-6496-2768
Columbia Univ, Coll Phys & Surg, New York Presbyterian Hosp, Div Pulm Allergy & Crit Care Med, New York, NY USA..
Univ Amsterdam, Dept Cardiol, Acad Med Ctr, Amsterdam UMC, Amsterdam, Netherlands..
KTH, School of Technology and Health (STH), Medical Engineering, Medical Imaging.ORCID iD: 0000-0002-8987-9909
2019 (English)In: Perfusion, ISSN 0267-6591, E-ISSN 1477-111X, Vol. 34, no 2, p. 98-105Article, review/survey (Refereed) Published
Abstract [en]

Short-term mechanical support by veno-arterial extracorporeal membrane oxygenation (VA ECMO) is more and more applied in patients with severe cardiogenic shock. A major shortcoming of VA ECMO is its variable, but inherent increase of left ventricular (LV) mechanical load, which may aggravate pulmonary edema and hamper cardiac recovery. In order to mitigate these negative sequelae of VA ECMO, different adjunct LV unloading interventions have gained a broad interest in recent years. Here, we review the whole spectrum of percutaneous and surgical techniques combined with VA ECMO reported to date.

Place, publisher, year, edition, pages
Sage Publications, 2019. Vol. 34, no 2, p. 98-105
Keywords [en]
veno-arterial extracorporeal membrane oxygenation (VA ECMO), left ventricular unloading, cardiogenic shock, cardiovascular modeling, computer simulation
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:kth:diva-245365DOI: 10.1177/0267659118794112ISI: 000458887400002PubMedID: 30112975Scopus ID: 2-s2.0-85052579505OAI: oai:DiVA.org:kth-245365DiVA, id: diva2:1294704
Note

QC 20190308

Available from: 2019-03-08 Created: 2019-03-08 Last updated: 2019-03-08Bibliographically approved

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