Management of left ventricular distension during peripheral extracorporeal membrane oxygenation for cardiogenic shock

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Abstract

The application of peripheral veno-arterial extracorporeal membrane oxygenation in the management of inotrope-refractory cardiogenic shock has proven controversial because of concerns about sub-optimal drainage of the left heart, resulting in left ventricular distension and pulmonary oedema. In this article, we will discuss the pathophysiological basis and clinical implications of left ventricular distension following institution of peripheral extracorporeal life support. We will also review the clinical strategies used to circumvent left ventricular distension and pulmonary oedema in these patients.

Original languageEnglish (US)
Pages (from-to)326-331
Number of pages6
JournalPerfusion (United Kingdom)
Volume27
Issue number4
DOIs
StatePublished - Jul 1 2012

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Extracorporeal Membrane Oxygenation
Oxygenation
Cardiogenic Shock
Pulmonary Edema
Refractory materials
Drainage
Membranes
management

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Advanced and Specialized Nursing
  • Safety Research

Cite this

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