| Autor: |
Gupta, Vivek, Ramanathan, K. R. |
| Předmět: |
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| Zdroj: |
Indian Journal of Cardiovascular Disease in Women - WINCARS; Jul-Sep2024, Vol. 9 Issue 3, p176-184, 9p |
| Abstrakt: |
The use of extracorporeal membrane oxygenation (ECMO) for management of critically ill patients has significantly increased in the recent past due to technological progress and increased experience with safe ECMO runs. The use of venoarterial (VA) ECMO during high risk interventional cardiology procedures ensure adequate cardiac output and other organ perfusion as well. The use of elective VA ECMO support during procedure allow interventionists to perform procedure safely and comfortably, moreover the support may be extended during post-procedural period in case of cardiogenic shock or arrhythmia. VA ECMO may also be instituted in emergent situations when conventional cardiopulmonary resuscitation (CPR) is ineffective to achieve return of spontaneous circulation. The various procedures with high risk potential due to anatomical complexity, haemodynamic decompensation or preexisting clinical condition may require mechanical circulatory support. These include percutaneous coronary interventions, Transcatheter aortic valve implantation (TAVI), complex congenital anamoly or electrophysiological procedures. However an integrated team approach with appropriate communication is vital among interventional cardiologist, ECMO specialist, cardiac surgeon, cardiac anaesthesiologist and perfusionist for a successful outcome. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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