Veno-arterial extracorporeal membrane oxygenation: an overview of different cannulation techniques
| Autor: | Nicolas Paul Henri Murith, Matteo Pozzi, Jean-François Obadia, Karim Bendjelid, Fabio Rigamonti, Marie-Eve Brunner, Damiano Mugnai, Carlo Banfi, Raphaël Giraud |
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| Přispěvatelé: | Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL) |
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment [SDV]Life Sciences [q-bio] Hemodynamics cardiac arrest Review Article 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Refractory extracorporeal membrane oxygenation (ECMO) Internal medicine Extracorporeal membrane oxygenation Medicine Intensive care medicine Cardiogenic shock Therapeutic strategy ddc:617 business.industry Critically ill 030208 emergency & critical care medicine medicine.disease 3. Good health surgical procedures operative Circulatory system Cardiology business |
| Zdroj: | J Thorac Dis J Thorac Dis, 2016, 8 (9), pp.E875-e885. ⟨10.21037/jtd.2016.09.25⟩ Journal of Thoracic Disease, Vol. 8, No 9 (2016) pp. E875-E885 |
| ISSN: | 2072-1439 |
| DOI: | 10.21037/jtd.2016.09.25⟩ |
| Popis: | International audience; Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has known a widespread application over the last decade and is now an effective and valuable therapeutic option in refractory cardiogenic shock of various etiologies. In this subgroup of critically ill and unstable patients in cardiogenic shock, VA-ECMO allows, on the one hand, temporary hemodynamic stabilization with improvement of end-organ function and, on the other hand, gives the time to perform complementary diagnostic exams and to decide the therapeutic strategy in these high-risk candidates for immediate long-term mechanical circulatory support (MCS) implantation. VA-ECMO could also be suggested as a rescue therapeutic option for refractory cardiac arrest. It showed promising results in the specific setting of in-hospital cardiac arrest and survival rates with good neurological outcome are reported between 20% and 40%. Conversely, there are contrasting data in the literature about survival after VA-ECMO for out-of-hospital cardiac arrest, as results are highly dependent on low-flow time. The aim of the present report is to offer an overview of different cannulation techniques of VA-ECMO. |
| Databáze: | OpenAIRE |
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